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ALEXIS NICOLE ROACH DO
NPI 1770162703
Emergency Medicine - Pediatric Emergency Medicine in Little Rock, AR

Active since April 06, 2021PECOS Enrolled
1 CHILDRENS WAY # 664, LITTLE ROCK, AR 72202(501) 364-2505(501) 978-6436 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 19, 2025, Apr 6, 2021 (2 updates tracked since 2021).

About Alexis Nicole Roach Do NPPES

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

ALEXIS NICOLE ROACH DO (NPI 1770162703) is an individual pediatric emergency medicine provider in Little Rock, Arkansas, licensed in Arkansas (E-18038) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1770162703
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NameALEXIS NICOLE ROACHCredential: DO
Location Address1 CHILDRENS WAY # 664Little Rock, AR 72202-3500
Mailing AddressPo Box 959794Saint Louis, MO 63195-9794 · (501) 364-1100 · Fax (501) 978-6436
Phone(501) 364-2505
Fax(501) 978-6436
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 6, 2021
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
✔ NPI 1770162703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in AR · E-18038
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
Also ListedPediatricsTaxonomy 208000000X · License E-18038 (AR)
1 CHILDRENS WAY # 664, Little Rock, AR 72202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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)

Alexis Nicole Roach Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678975893
PECOS Enrollment IDI20251008004762
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 7

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

EMILY KATHRYN GRIMES
Pediatrics
1 CHILDRENS WAY # 664
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
DR. KATHRYN MCCAA HIEGERT DDS
Dentist (Pediatric Dentistry)
1 CHILDRENS WAY # 664
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
LAUREN OGLESBY CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
1 CHILDRENS WAY # 664
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
ARKANSAS CHILDRENS HOSPITAL
Pediatrics
1 CHILDRENS WAY # 664
LITTLE ROCK, AR 72202
Pulaski County (501) 364-2526
ARKANSAS CHILDRENS PROFESSIONAL SERVICES ORGANIZATION LLC
Pediatrics (Developmental - Behavioral Pediatrics)
1 CHILDRENS WAY # 664
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
ARKANSAS CHILDREN'S HOSPITAL
Social Worker (Clinical)
1 CHILDRENS WAY # 664
LITTLE ROCK, AR 72202
Pulaski County (501) 364-1100
ARKANSAS CHILDRENS HOSPITAL
Dentist (Pediatric Dentistry)
1 CHILDRENS WAY # 664
LITTLE ROCK, AR 72202
Pulaski County (501) 364-2526

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 Alexis Roach's NPI number?

The NPI number for Alexis Roach is 1770162703. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Alexis Roach located?

Alexis Roach practices at 1 Childrens Way # 664, Little Rock, AR 72202. The listed phone number is (501) 364-2505.

What is Alexis Roach's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Alexis Roach enrolled in Medicare?

Yes. Alexis Roach is registered in the Medicare PECOS enrollment system.

What insurance does Alexis Roach accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Alexis Roach 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 Alexis Roach was last updated on September 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.