LISA MCMICHAEL
NPI 1174223523
Psychologist - Clinical in Bloomington, IN
About Lisa Mcmichael NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA MCMICHAEL (NPI 1174223523) is a healthcare organization registered as a clinical in Bloomington, Indiana and active in the NPI registry since March 2023. The organization lists Lisa Ann Mcmichael, Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Mcmichael is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lisa Mcmichael, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mcmichael LLC's NPI number?
The NPI number for Lisa Mcmichael LLC is 1174223523. It was assigned to this organization in the NPPES registry on March 6, 2023. The provider is doing business as Lisa Mcmichael.
Where is Lisa Mcmichael LLC located?
Lisa Mcmichael LLC is located at 608 W Glen Arbor Way, Bloomington, IN 47403. The listed phone number is (812) 345-0492.
What is Lisa Mcmichael LLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Lisa Mcmichael LLC enrolled in Medicare?
Yes. Lisa Mcmichael LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lisa Mcmichael LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Lisa Mcmichael LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Mcmichael LLC was last updated on August 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Lisa Mcmichael · NPI 1174223523
Clinical organization in Bloomington, Indiana. Organization record, active in the CMS NPPES registry since March 6, 2023.
## Identity
- **NPI:** 1174223523 (Entity type: Organization)
- **Enumerated:** March 6, 2023
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Legal business name:** Lisa Mcmichael Llc
- **Organization subpart:** No
- **Authorized official:** Lisa Mcmichael, PSYCHOLOGIST
## Practice location
- **Address:** 608 W GLEN ARBOR WAY, Bloomington, IN 47403-4537
- **Phone:** (812) 345-0492
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1174223523) · Data from the CMS NPPES public registry.