Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA SPEEDE MCCLURE
NPI 1124715396
Nurse Practitioner - Psychiatric/Mental Health in Petersburg, VA

Active since April 19, 2023PECOS Enrolled
541 S SYCAMORE ST, PETERSBURG, VA 23803(804) 835-6100 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lisa Speede Mcclure NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA SPEEDE MCCLURE (NPI 1124715396) is an individual psychiatric/mental health provider in Petersburg, Virginia, licensed in Virginia (0024186346) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124715396
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLISA SPEEDE MCCLURE
Location Address541 S SYCAMORE STPetersburg, VA 23803-5039
Mailing Address257 Triple C DrClarksville, VA 23927-2560 · (434) 774-5743
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 19, 2023
Last NPPES UpdateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
NPI 1124715396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in VA · 0024186346
541 S SYCAMORE ST, Petersburg, VA 23803

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa Speede Mcclure is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991169583
PECOS Enrollment IDI20230915000124
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
130 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
541 S SYCAMORE ST
PETERSBURG, VA 23803
Nurse Practitioner (Family)
541 S SYCAMORE ST
PETERSBURG, VA 23803
Clinic/Center (Federally Qualified Health Center (FQHC))
541 S SYCAMORE ST
PETERSBURG, VA 23803
Nurse Practitioner (Family)
541 S SYCAMORE ST
PETERSBURG, VA 23803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Mcclure's NPI number?

The NPI number for Lisa Mcclure is 1124715396. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Lisa Mcclure located?

Lisa Mcclure practices at 541 S Sycamore St, Petersburg, VA 23803. The listed phone number is (804) 835-6100.

What is Lisa Mcclure's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lisa Mcclure enrolled in Medicare?

Yes. Lisa Mcclure is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Mcclure was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.