LISA HELENE SMITH MD
NPI 1043293236
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Bloomington, IN

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
813 W 2ND ST, BLOOMINGTON, IN 47403(812) 353-3470 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 22, 2026, Mar 11, 2025, May 10, 2024 and 1 more (4 updates tracked since 2020).

About Lisa Helene Smith Md NPPES

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

LISA HELENE SMITH MD (NPI 1043293236) is an individual neurology with special qualifications in child neurology provider in Bloomington, Indiana, licensed in Indiana (01063998A) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Hawaii John A. Burns School Of Medicine (1994).

NPPES Registry Identity

NPI1043293236
Entity TypeIndividualFemale
Primary Taxonomy2084N0402X
Provider Legal NameLISA HELENE SMITHCredential: MD
Location Address813 W 2ND STBloomington, IN 47403-2212
Mailing Address1 Jarrett White RdTripler Amc, HI 96859-5001
Sole ProprietorNo
Medical School CMSUniversity Of Hawaii John A. Burns School Of MedicineGraduated 1994
Enumeration DateNovember 22, 2005
Last NPPES UpdateJanuary 22, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1043293236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0402X
License✔ Licensed in IN · 01063998A
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Also ListedPediatricsTaxonomy 208000000X · License 01063998A (IN)
Also ListedPsychiatry & Neurology · EpilepsyTaxonomy 2084E0001X · License 01063998A (IN)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 1063998A (IN)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 01063998A (IN)
813 W 2ND ST, Bloomington, IN 47403

Secondary Practice Locations 2

Location 11701 N Senate BlvdIndianapolis, IN 46202-1239 · Phone (888) 484-3258
Location 2705 Riley Hospital Dr # 1340Indianapolis, IN 46202-5109 · Phone (317) 948-7450 · Fax (317) 948-3408

Other Identifiers 4

Other000000628410IN · Anthem Ptan
Other1102246535IN · Anthem Ptan
Medicaid200889720IN
Other262210GIN · Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Helene Smith Md 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 ID4880776434
PECOS Enrollment IDI20080205000056
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Lisa Smith reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
545 BARNHILL DR, EH 125
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 104 clinicians in this Medicare group
Pediatrics
705 RILEY HOSPITAL DR
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 523 clinicians in this Medicare group
General Practice
1701 N SENATE BLVD
Indianapolis, IN 46202
  • Reassigned Medicare billing, Indiana enrollment
  • 5,212 clinicians in this Medicare group
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47403 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 6

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

Physician Assistant (Medical)
813 W 2ND ST
BLOOMINGTON, IN 47403
Psychiatry & Neurology (Neurology)
813 W 2ND ST
BLOOMINGTON, IN 47403
Nurse Practitioner
813 W 2ND ST
BLOOMINGTON, IN 47403
Specialist
813 W 2ND ST
BLOOMINGTON, IN 47403
Nurse Practitioner
813 W 2ND ST
BLOOMINGTON, IN 47403
Specialist
813 W 2ND ST
BLOOMINGTON, IN 47403

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 Smith's NPI number?

The NPI number for Lisa Smith is 1043293236. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Lisa Smith located?

Lisa Smith practices at 813 W 2nd St, Bloomington, IN 47403. The listed phone number is (812) 353-3470.

What is Lisa Smith's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.

Is Lisa Smith enrolled in Medicare?

Yes. Lisa Smith 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.

Which organizations bill Medicare for Lisa Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Smith reassigns Medicare benefits to 4 organizations: Indiana Clinic-Neurology, LLC (Indianapolis, IN), Iu Health Medical Group Riley Specialists, LLC (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and Hawaii Permanente Medical Group Inc (Honolulu, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Smith accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Cigna Healthcare and 1 other insurer list Lisa Smith 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 Smith was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.