DR. LISA A SPURLOCK (MD) – Psychiatry Physician, NPI 1881860658

DR. LISA A SPURLOCK (MD) is a healthcare provider. based in Ferndale, Michigan. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 4301061684 (MI). The NPI Number for DR. LISA A SPURLOCK (MD) is 1881860658

Main info

Female
Sole Proprietor
37 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA A SPURLOCK (MD)
NPI
1881860658
Phone
(248) 543-5111
Address
129 E BRECKENRIDGE ST
Enumeration Date
1 May 2008
Last Update Date
1 May 2008

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9893562161
Graduation Year
1989 (37 years ago)
PAC ID
6002123692
Group Practice PAC ID
2264498005
Professional Enrollment ID
I20170929003202
Address ID
MI497071434AL400XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,216 PSYCHIATRY in MI

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Provider Addresses for DR. LISA A SPURLOCK (MD)

  • 129, East Breckenridge Street, Ferndale, Oakland County, Michigan, 48220, United States

    FERNDALE, MI 482201319

    Phone: (248) 543-5111

    Fax: (248) 543-5171

    Type: Mailing

  • M1 Realty, 22750, Woodward Avenue, Ferndale, Oakland County, Michigan, 48220, United States

    SUITE 211

    FERNDALE, MI 482201777

    Phone: (248) 543-5111

    Fax: (248) 543-5171

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-09-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170929003202IPsychiatryMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5022$0
View full utilization report →

Insurance plans in this area (ZIP 48220)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264498005View full group profile
NameSpecialtyState
Physician AssistantMI
P S Y C H I A T R YMI
Clinical Social WorkerMI
Occupational Therapist In Private PracticeMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
Mental Health CounselorMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What NPI should I save for DR. LISA A SPURLOCK (MD)?
Save NPI 1881860658 if you need a stable reference for DR. LISA A SPURLOCK (MD).
Is DR. LISA A SPURLOCK (MD) active in the national directory?
DR. LISA A SPURLOCK (MD)'s public NPI profile is in an active state.
What field does DR. LISA A SPURLOCK (MD) work in?
You can think of DR. LISA A SPURLOCK (MD) as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for DR. LISA A SPURLOCK (MD)?
We surface Ferndale, Michigan for DR. LISA A SPURLOCK (MD) based on available NPPES addresses.
Is DR. LISA A SPURLOCK (MD) a real provider?
This page reflects official NPPES data for NPI 1881860658. Always confirm identity and privileges with the practice and licensing boards.

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