DR. LISA CREDO M.D.
NPI 1093949117
Pediatrics in Little Rock, AR

Active since May 04, 2009PECOS Enrolled
800 MARSHALL ST # 653, LITTLE ROCK, AR 72202(501) 364-1100 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lisa Credo M.d. NPPES

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

DR. LISA CREDO M.D. (NPI 1093949117) is an individual pediatrics provider in Little Rock, Arkansas, licensed in Louisiana (321372) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093949117
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. LISA CREDOCredential: M.D.
Location Address800 MARSHALL ST # 653Little Rock, AR 72202-3510
Mailing Address3305 Metairie RdMetairie, LA 70001-5215 · (504) 358-8411
Sole ProprietorNo
Enumeration DateMay 4, 2009
Last NPPES UpdateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
NPI 1093949117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in LA · 321372
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedSpecialistTaxonomy 174400000X · License 321372 (LA)
800 MARSHALL ST # 653, Little Rock, AR 72202

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 (PECOS)

Dr. Lisa Credo M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72202 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.

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.

Psychologist (Clinical Child & Adolescent)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pediatrics (Pediatric Nephrology)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pediatrics (Neonatal-Perinatal Medicine)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Radiology (Pediatric Radiology)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pediatrics
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Psychologist
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pediatrics (Pediatric Emergency Medicine)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202
Pediatrics (Pediatric Cardiology)
800 MARSHALL ST # 653
LITTLE ROCK, AR 72202

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 Credo's NPI number?

The NPI number for Lisa Credo is 1093949117. It was assigned to this individual provider in the NPPES registry on May 4, 2009.

Where is Lisa Credo located?

Lisa Credo practices at 800 Marshall St # 653, Little Rock, AR 72202. The listed phone number is (501) 364-1100.

What is Lisa Credo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lisa Credo enrolled in Medicare?

Yes. Lisa Credo is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Credo accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Lisa Credo 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 Credo was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.