LISA LYNN MCCLOY – Primary Care Nurse Practitioner, NPI 1962850131

LISA LYNN MCCLOY is a healthcare provider. based in Southfield, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704270007 (MI). The NPI Number for LISA LYNN MCCLOY is 1962850131

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LISA LYNN MCCLOY
NPI
1962850131
Phone
Not provided
Address
26901 BEAUMONT BLVD
Enumeration Date
29 May 2016
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482675050
Graduation Year
2016 (10 years ago)
PAC ID
8729485792
Group Practice PAC ID
7214299866
Professional Enrollment ID
I20210920000847
Address ID
MI480986375TR4600XDRXX301

Contacts

Secure Messaging
lmccloy25374@direct.beaumont.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for LISA LYNN MCCLOY

  • 26901 BEAUMONT BLVD

    SOUTHFIELD, MI 480333849

    Phone:

    Type: Mailing

  • 6777 W MAPLE RD

    WEST BLOOMFIELD, MI 483223013

    Phone: (248) 325-1000

    Type: Location

  • 4600 Investment Dr

    suite 200

    Troy, MI 480986365

    Phone: (248) 267-5050

    Type: Location

  • UnaSource Health, 4600, Investment Drive, Troy, Oakland County, Michigan, 48098, United States

    SUITE 200

    TROY, MI 480986365

    Phone: (248) 267-5050

    Type: Mailing

  • 1 FORD PL STE 3A

    DETROIT, MI 482023450

    Phone: (313) 874-4806

    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 $110.

Total Amount is formed as General ($110) + Research ($0) + Ownership ($0) = $110.

Last reported payment date: 2024-03-14 • Largest payer in this snapshot: Kestra Medical Technology Services, Inc. ($33).

Total Amount

$110

General + Research + Ownership

Payments

6

Total payment records

General Amount

$110

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-14

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2021-09-20

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
I20210920000847INurse PractitionerMITBD

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report9994$0
99214Established patient office or other outpatient visit, 30-39 minutes7268$0
99213Established patient office or other outpatient visit, 20-29 minutes5554$0
View full utilization report →

Insurance plans in this area (ZIP 48033)

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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: 7214299866View full group profile
NameSpecialtyState
-MI
Hematology/Oncology, Internal MedicineMI
P S Y C H I A T R YMI
-MI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
-MI
-MI

Reviews

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Frequently asked questions

What NPI should I save for LISA LYNN MCCLOY?
Save NPI 1962850131 if you need a stable reference for LISA LYNN MCCLOY.
Is LISA LYNN MCCLOY currently active in the NPI registry?
CMS-published data lists LISA LYNN MCCLOY as an active registrant.
What kind of provider is LISA LYNN MCCLOY?
The page reflects Primary Care Nurse Practitioner for LISA LYNN MCCLOY. Clinical services aligned with this taxonomy classification.
Does LISA LYNN MCCLOY practice in Michigan?
You will see Southfield, Michigan on file for LISA LYNN MCCLOY alongside any extra practice locations.
What if Southfield, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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