NPIMap

Individual provider Active NPI

Lisa McClellan, MD

  • Family Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1801888763
Registry record updated Aug 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25023 Issued in AZ
Practice address
2025 W Northern Ave
Phoenix, AZ 85021-5157
Phone
(833) 855-9973
Fax
(602) 655-9630
NPI assigned
Aug 17, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25023 AZ Primary

Addresses

Primary practice location

2025 W Northern Ave
Phoenix, AZ 85021-5157

Mailing address

8088 W Whitney Dr
Peoria, AZ 85345-6564
Phone (602) 344-5287

Other practice location 1

500 W Thomas Rd
Ste 870
Phoenix, AZ 85013-4218
Phone (877) 809-0509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040929000203 AZ Practitioner - Family Practice 6204805039 Reassigns benefits to 1 organization
I20141013002428 TX Practitioner - Family Practice 6204805039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Missouri, Kansas City, School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2525 E Roosevelt St
Phoenix, AZ 85008-4948
Phone (602) 344-1159

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Maricopa County Special Health Care District CurrentSince Aug 4, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 21, 2014 Accepting new patients
Maricopa County Special Health Care District CurrentSince Aug 4, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Sep 21, 2014 Accepting new patients
Maricopa County Special Health Care District Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

2121 W Reservation Loop Rd
Camp Verde, AZ 86322
Phone (929) 567-2168

5825 E Calle Guadalupe
Guadalupe, AZ 85283
Phone (480) 344-6000

8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

2025 W Northern Ave
Phoenix, AZ 85021
Phone (602) 344-5253

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

10005 E Osborn Rd
Scottsdale, AZ 85256
Phone (480) 362-7400

Interoperability endpoints

  • Direct secure messaging: lmcclellan286500@direct.valleywisehealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1801888763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8088 W WHITNEY DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456564",
            "telephone_number": "602-344-5287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 W NORTHERN AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850215157",
            "telephone_number": "833-855-9973",
            "fax_number": "602-655-9630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 W THOMAS RD",
            "address_2": "STE 870",
            "address_purpose": "LOCATION",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134218",
            "country_code": "US",
            "telephone_number": "877-809-0509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLELLAN",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "25023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.