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LISA M GRUMMER APN
NPI 1124096151
Nurse Practitioner - Obstetrics & Gynecology in Little Rock, AR

Active since March 08, 2006PECOS Enrolled
1 LILE CT, SUITE 200, LITTLE ROCK, AR 72205(501) 224-5500(501) 224-1166 Get Directions Write a Review

NPPES record last updated: January 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lisa M Grummer Apn NPPES

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

LISA M GRUMMER APN (NPI 1124096151) is an individual obstetrics & gynecology provider in Little Rock, Arkansas, licensed in Arkansas (P01739) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124096151
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameLISA M GRUMMERCredential: APN
Location Address1 LILE CT, SUITE 200Little Rock, AR 72205-6242
Mailing Address1 Lile Ct, Sute 200Little Rock, AR 72205-6242 · (501) 224-5500 · Fax (501) 224-1166
Phone(501) 224-5500
Fax(501) 224-1166
Sole ProprietorNo
Enumeration DateMarch 8, 2006
Last NPPES UpdateJanuary 26, 2012
✔ NPI 1124096151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in AR · P01739
1 LILE CT, Little Rock, AR 72205
Open in Google Maps ↗

Other Identifiers 5

Medicare ID-Type Unspecified5U655
Medicare PIN5U655AR
Medicare UPINS98804AR
Medicare PIN5U6557069AR
Medicare PIN5988047069

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Grummer Apn 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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Grummer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Clinic For Women
0.1 mi
Medical Specialty
9500 BAPTIST HEALTH DR STE 100
Little Rock, AR 72205
  • Reassigned Medicare billing, Arkansas enrollment
  • 20 clinicians in this Medicare group
NPI 1700853553 (501) 224-5500

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

Areas of Expertise CMS Part B claims 2

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
52 services52 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72205 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.

HAL EUGENE PALMER
Pathology (Anatomic Pathology & Clinical Pathology)
1 LILE CT, SUITE 101
LITTLE ROCK, AR 72205
Pulaski County (501) 225-7711
ABBY CAROLINE RING APRN
Nurse Practitioner (Acute Care)
1 LILE CT
LITTLE ROCK, AR 72205
Pulaski County (501) 326-9656
DOUGLAS B SMITH M.D.
Obstetrics & Gynecology
1 LILE CT, SUITE 200
LITTLE ROCK, AR 72205
Pulaski County (501) 224-5500
DR. GARY STEPHEN MARKLAND
Pathology (Anatomic Pathology & Clinical Pathology)
1 LILE CT, SUITE 101
LITTLE ROCK, AR 72205
Pulaski County (501) 225-7711
DR. ELIZABETH ANN SENG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 LILE CT, SUITE 101
LITTLE ROCK, AR 72205
Pulaski County (501) 225-7711
DR. BRENT CHRISTOPHER STAGGS M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 LILE CT, SUITE 101
LITTLE ROCK, AR 72205
Pulaski County (501) 225-7711
ROBERT O'NEAL SHAVER
Pathology (Anatomic Pathology & Clinical Pathology)
1 LILE CT, SUITE 101
LITTLE ROCK, AR 72205
Pulaski County (501) 225-7711
MICHELLE DELORES NELSON M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
1 LILE CT, SUITE 101
LITTLE ROCK, AR 72205
Pulaski County (501) 225-7711

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 Grummer's NPI number?

The NPI number for Lisa Grummer is 1124096151. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Lisa Grummer located?

Lisa Grummer practices at 1 Lile Ct Suite 200, Little Rock, AR 72205. The listed phone number is (501) 224-5500.

What is Lisa Grummer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Lisa Grummer enrolled in Medicare?

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

Which organization bills Medicare for Lisa Grummer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Grummer reassigns Medicare benefits to Cornerstone Clinic For Women (Little Rock, AR). The 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 Grummer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Grummer was last updated on January 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.