LISA SPEEDE MCCLURE – Psychiatric/Mental Health Nurse Practitioner, NPI 1124715396

LISA SPEEDE MCCLURE is a healthcare provider. based in Clarksville, Virginia. specializing in NURSE PRACTITIONER. They hold a License No. 0024186346 (VA). The NPI Number for LISA SPEEDE MCCLURE is 1124715396

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
LISA SPEEDE MCCLURE
NPI
1124715396
Phone
(434) 774-5743
Address
257 TRIPLE C DR
Enumeration Date
19 April 2023
Last Update Date
19 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4347380154
Graduation Year
2022 (4 years ago)
PAC ID
5991169583
Group Practice PAC ID
4284660507
Professional Enrollment ID
I20230915000124
Address ID
VA239173104BO523XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,303 NURSE PRACTITIONER in VA

Provider Addresses for LISA SPEEDE MCCLURE

  • 257 TRIPLE C DR

    CLARKSVILLE, VA 239272560

    Phone: (434) 774-5743

    Type: Mailing

  • 143 INDUSTRIAL PKWY

    CLARKSVILLE, VA 239273140

    Phone: (434) 572-6916

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $90.

Total Amount is formed as General ($90) + Research ($0) + Ownership ($0) = $90.

Last reported payment date: 2024-07-11 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($90).

Total Amount

$90

General + Research + Ownership

Payments

1

Total payment records

General Amount

$90

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-11

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2023-09-15

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
I20230915000124INurse PractitionerVATBD

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 minutes7835$0
View full utilization report →

Insurance plans in this area (ZIP 23927)

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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: 4284660507View full group profile
NameSpecialtyState
Mental Health CounselorVA
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Mental Health CounselorVA
P S Y C H I A T R YVA
Clinical Social WorkerNC
-PA
Clinical Social WorkerNC
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What NPI should I save for LISA SPEEDE MCCLURE?
Save NPI 1124715396 if you need a stable reference for LISA SPEEDE MCCLURE.
Is LISA SPEEDE MCCLURE active in the national directory?
LISA SPEEDE MCCLURE's public NPI profile is in an active state.
What does LISA SPEEDE MCCLURE treat or focus on?
Patients typically see LISA SPEEDE MCCLURE under the specialty Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for LISA SPEEDE MCCLURE?
The page summarizes Clarksville, Virginia for LISA SPEEDE MCCLURE; expand the address list for detail.
What if Clarksville, Virginia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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