MRS. LISA RENEE BUTCHER CLOYD MM, MA
NPI 1972742096
Speech-Language Pathologist in Minneapolis, MN
About Mrs. Lisa Renee Butcher Cloyd Mm, Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LISA RENEE BUTCHER CLOYD MM, MA (NPI 1972742096) is an individual speech-language pathologist provider in Minneapolis, Minnesota, licensed in Minnesota (8427) and active in the NPI registry since February 2009. She is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
Mrs. Lisa Renee Butcher Cloyd Mm, Ma 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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Butcher Cloyd reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Butcher Cloyd's NPI number?
The NPI number for Lisa Butcher Cloyd is 1972742096. It was assigned to this individual provider in the NPPES registry on February 12, 2009. The provider is also known as Mrs. Lisa Renee Butcher-Peterson Ma.
Where is Lisa Butcher Cloyd located?
Lisa Butcher Cloyd practices at 909 Fulton St SE Fl 4, Minneapolis, MN 55455. The listed phone number is (612) 626-5900.
What is Lisa Butcher Cloyd's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Lisa Butcher Cloyd enrolled in Medicare?
Yes. Lisa Butcher Cloyd 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 organization bills Medicare for Lisa Butcher Cloyd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Butcher Cloyd reassigns Medicare benefits to University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). The 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 Lisa Butcher Cloyd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Butcher Cloyd was last updated on January 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Lisa Renee Butcher Cloyd, MM, MA · NPI 1972742096
Speech-Language Pathologist provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since February 12, 2009.
## Identity
- **NPI:** 1972742096 (Entity type: Individual)
- **Enumerated:** February 12, 2009
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 8427 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 909 FULTON ST SE FL 4, Minneapolis, MN 55455-4800
- **Phone:** (612) 626-5900
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** January 7, 2022
- **Other identifiers:** Medicaid 1972742096 (MN)
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Source: [NPI Profile](https://npiprofile.com/npi/1972742096) · Data from the CMS NPPES public registry.