1. Home
  2. Directory
  3. Michigan
  4. Southfield
  5. Nurse Practitioner
  6. NPI Profile

LARISSA BARCLAY DNP, NP-C, PMHNP-BC
NPI 1649473786
Nurse Practitioner in Southfield, MI

Active since June 07, 2007PECOS EnrolledAccepts Medicare Assignment
17515 W 9 MILE RD STE 395, SOUTHFIELD, MI 48075(248) 963-8189(763) 402-7611 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2026, Nov 8, 2023, Oct 11, 2022 and 1 more (4 updates tracked since 2022).

About Larissa Barclay Dnp, Np-c, Pmhnp-bc NPPES

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

LARISSA BARCLAY DNP, NP-C, PMHNP-BC (NPI 1649473786) is an individual nurse practitioner in Southfield, Michigan, licensed in Michigan (4704196307) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1649473786
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLARISSA BARCLAYCredential: DNP, NP-C, PMHNP-BC
Location Address17515 W 9 MILE RD STE 395Southfield, MI 48075-4400
Mailing Address17515 W 9 Mile Rd Ste 395Southfield, MI 48075-4400 · (248) 963-8189 · Fax (763) 402-7611
Phone(248) 963-8189
Fax(763) 402-7611
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 7, 2007
Last NPPES UpdateJanuary 9, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1649473786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704196307
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4704196307 (MI)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 4704196307 (MI)
17515 W 9 MILE RD STE 395, Southfield, MI 48075
Open in Google Maps ↗

Other Identifiers 2

OtherON99340003MI · Medicare
Other5008674420MI · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Larissa Barclay Dnp, Np-c, Pmhnp-bc 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 ID3870686819
PECOS Enrollment IDI20070906000504
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Larissa Barclay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthy Mind Healthy Life
11 mi
Mental Health (Including Community Mental Health Center)
17515 W 9 MILE RD STE 650
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
NPI 1932843984 (248) 963-8189
Access Telecare, PLLC
988 mi
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Florida and Michigan enrollments
  • 229 clinicians in this Medicare group
NPI 1013303080 (972) 449-0540

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48075 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Larissa Barclay's NPI number?

The NPI number for Larissa Barclay is 1649473786. It was assigned to this individual provider in the NPPES registry on June 7, 2007.

Where is Larissa Barclay located?

Larissa Barclay practices at 17515 W 9 Mile Rd Ste 395, Southfield, MI 48075. The listed phone number is (248) 963-8189.

What is Larissa Barclay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Larissa Barclay enrolled in Medicare?

Yes. Larissa Barclay 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.

Which organizations bill Medicare for Larissa Barclay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Barclay reassigns Medicare benefits to 2 organizations: Healthy Mind Healthy Life (Southfield, MI) and Access Telecare, PLLC (Dallas, TX). Each 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 Larissa Barclay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Larissa Barclay accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Larissa Barclay 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 Larissa Barclay was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.