LISA LYNN MCCLOY
NPI 1962850131
Nurse Practitioner - Primary Care in West Bloomfield, MI

Q: What is Lisa Mccloy's NPI number?

The NPI number for Lisa Mccloy is 1962850131. It was assigned to this individual provider in the NPPES registry on May 29, 2016.

Q: What is Lisa Mccloy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Mccloy was last updated on July 24, 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.

Active since May 29, 2016PECOS EnrolledAccepts Medicare Assignment

6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322(248) 325-1000 Get Directions Write a Review

NPPES record last updated: July 24, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 24, 2023, Sep 17, 2021, Apr 30, 2017 (3 updates tracked since 2017).

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About Lisa Lynn Mccloy NPPES

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

LISA LYNN MCCLOY (NPI 1962850131) is an individual primary care provider in West Bloomfield, Michigan, licensed in Michigan (4704270007) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Health Hospital, and maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1962850131

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameLISA LYNN MCCLOY

Location Address6777 W MAPLE RDWest Bloomfield, MI 48322-3013

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806

Phone(248) 325-1000

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 29, 2016

Last NPPES UpdateJuly 24, 20233 updates tracked since enumeration

NPPES CertifiedJuly 24, 2023

✔ NPI 1962850131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MI · 4704270007

6777 W MAPLE RD, West Bloomfield, MI 48322

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Secondary Practice Location 1

Location 14600 Investment Dr, suite 200Troy, MI 48098-6365 · Phone (248) 267-5050

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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 Lynn Mccloy 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 ID8729485792

PECOS Enrollment IDI20210920000847

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 4

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

109 services102 patients

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.

78 services72 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

50 services49 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230053

Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48322 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.

Other Providers at the Same Location NPPES 20

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

IRB MEDICAL EQUIPMENT LLC

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)

6777 W MAPLE RD, RM 60-01
WEST BLOOMFIELD, MI 48322

Oakland County (248) 862-7214

MELISSA ANNE BARACH AGCNS

Clinical Nurse Specialist