LARISSA BARCLAY (DNP, NP-C, PMHNP-BC) – Nurse Practitioner, NPI 1649473786
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
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Provider Addresses for LARISSA BARCLAY (DNP, NP-C, PMHNP-BC)
17515 W 9 MILE RD STE 650
SOUTHFIELD, MI 480754403
Phone: (248) 963-8189
Fax: (763) 402-7611
Type: Mailing
25265, Waycross, Southfield, Oakland County, Michigan, 48033, United States
SOUTHFIELD, MI 480336143
Phone: (313) 286-6473
Type: Mailing
Southfield Road, Detroit, Wayne County, Michigan, 48075:48235, United States
SUITE 200
SOUTHFIELD, MI 480762021
Phone: (248) 423-1550
Fax: (248) 423-1552
Type: Location
29155 NORTHWESTERN HWY STE 741
SOUTHFIELD, MI 480341011
Phone: (313) 633-8385
Fax: (763) 402-7611
Type: Mailing
17515 W 9 MILE RD STE 395
SOUTHFIELD, MI 480754400
Phone: (248) 963-8189
Fax: (763) 402-7611
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $226.
Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.
Last reported payment date: 2024-09-12 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($199).
Total Amount
$226
General + Research + Ownership
Payments
6
Total payment records
General Amount
$226
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $199 |
| Alkermes, Inc. | $27 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2007-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070906000504 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48075)
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