LISA M IVY ANP
NPI 1033103296
Nurse Practitioner - Acute Care in Little Rock, AR

Active since September 02, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
7 SHACKLEFORD WEST BLVD, LITTLE ROCK, AR 72211(501) 664-5860(501) 664-0889 Get Directions Write a Review

NPPES record last updated: February 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa M Ivy Anp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA M IVY ANP (NPI 1033103296) is an individual acute care provider in Little Rock, Arkansas, licensed in Arkansas (A01826) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (1997).

NPPES Registry Identity

NPI1033103296
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLISA M IVYCredential: ANP
Location Address7 SHACKLEFORD WEST BLVDLittle Rock, AR 72211-3714
Mailing Address7 Shackleford West BlvdLittle Rock, AR 72211-3714 · (501) 664-5860 · Fax (501) 664-0889
Fax(501) 664-0889
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1997
Enumeration DateSeptember 2, 2005
Last NPPES UpdateFebruary 16, 2010
NPI 1033103296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AR · A01826
7 SHACKLEFORD WEST BLVD, Little Rock, AR 72211

Other Identifiers 2

Medicare UPINP68504AR
Medicare PIN5Y189AR

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lisa M Ivy Anp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880645878
PECOS Enrollment IDI20050318000893
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,246 services893 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
1,104 services80 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,094 services780 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
947 services617 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
682 services70 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
568 services332 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers26 claims26 services$116.75 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers26 claims77 services$40.80 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers18 claims18 services$23.29 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers22 claims22 services$21.10 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers31 claims179 services$2.97 avg. paid by Medicare
Filter, non disposable, used with positive airway pressure device A7039
DME-Other DME · category DE001N
2 suppliers11 claims11 services$7.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211
Internal Medicine (Cardiovascular Disease)
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211
Physician Assistant
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211
Nurse Practitioner (Acute Care)
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211
Surgery
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211
Internal Medicine (Cardiovascular Disease)
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211
Internal Medicine (Cardiovascular Disease)
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211
Internal Medicine (Interventional Cardiology)
7 SHACKLEFORD WEST BLVD
LITTLE ROCK, AR 72211

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Ivy's NPI number?

The NPI number for Lisa Ivy is 1033103296. It was assigned to this individual provider in the NPPES registry on September 2, 2005.

Where is Lisa Ivy located?

Lisa Ivy practices at 7 Shackleford West Blvd, Little Rock, AR 72211. The listed phone number is (501) 664-5860.

What is Lisa Ivy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lisa Ivy enrolled in Medicare?

Yes. Lisa Ivy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lisa Ivy accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Lisa Ivy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Ivy was last updated on February 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.