LIFECORE HEALTH GROUP
NPI 1548413628
Clinic/Center - Rural Health in Tupelo, MS
About Lifecore Health Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIFECORE HEALTH GROUP (NPI 1548413628) is a healthcare organization registered as a rural health in Tupelo, Mississippi and active in the NPI registry since November 2008. The organization holds 2 active CLIA laboratory certificates and lists Steven Stall, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lifecore Health Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Lifecore Health Group, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 5
Clinicians, nearest first (16)
Tupelo, MS 38804
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 25D2155250
Lifecore Health Group · Tupelo, MSCertificate of Waiver 25D2160506
Lifecore Health Group · Tupelo, MSFrequently 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 Northeast Mental Health-Mental Retardation Commission's NPI number?
The NPI number for Northeast Mental Health-Mental Retardation Commission is 1548413628. It was assigned to this organization in the NPPES registry on November 3, 2008. The provider is doing business as Lifecore Health Group.
Where is Northeast Mental Health-Mental Retardation Commission located?
Northeast Mental Health-Mental Retardation Commission is located at 2434 S Eason Blvd, Tupelo, MS 38804. The listed phone number is (662) 844-1717.
What is Northeast Mental Health-Mental Retardation Commission's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Northeast Mental Health-Mental Retardation Commission enrolled in Medicare?
Yes. Northeast Mental Health-Mental Retardation Commission is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Northeast Mental Health-Mental Retardation Commission?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 5 Medicare specialties reassign their Medicare billing to Northeast Mental Health-Mental Retardation Commission. 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. The largest specialties are Nurse Practitioner (7), Mental Health Counselor (4) and Clinical Social Worker (2). Of these, 1 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Northeast Mental Health-Mental Retardation Commission hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Northeast Mental Health-Mental Retardation Commission accept?
Health plans from UnitedHealthcare list Northeast Mental Health-Mental Retardation Commission as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Northeast Mental Health-Mental Retardation Commission was last updated on March 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Lifecore Health Group · NPI 1548413628
Rural Health organization in Tupelo, Mississippi. Organization record, active in the CMS NPPES registry since November 3, 2008.
## Identity
- **NPI:** 1548413628 (Entity type: Organization)
- **Enumerated:** November 3, 2008
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Northeast Mental Health-Mental Retardation Commission
- **Organization subpart:** No
- **Authorized official:** Steven Stall, CFO
## Practice location
- **Address:** 2434 S EASON BLVD, Tupelo, MS 38804-6942
- **Phone:** (662) 844-1717 · **Fax:** (662) 680-6416
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (7), Mental Health Counselor (4), Clinical Social Worker (2); 1 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2014
- **Other identifiers:** Medicaid 04329807 (MS); Medicare OSCAR/certification 253850; Medicaid 07453596 (MS); and 1 more
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548413628) · Data from the CMS NPPES public registry.