Lisa M Ivy, ANP - Medicare Nurse Practitioner in Little Rock, AR

Lisa M Ivy, ANP is a medicare enrolled "Nurse Practitioner - Acute Care" in Little Rock, Arkansas. She went to Vanderbilt University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Arkansas Heart Hospital Llc, Arkansas Heart Hospital Rural Health Services, Llc and her current practice location is 7 Shackleford West Blvd, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 664-5860.

Lisa M Ivy is licensed to practice in Arkansas (license number A01826) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033103296.

Contact Information

Lisa M Ivy, ANP
7 Shackleford West Blvd,
Little Rock, AR 72211-3714
(501) 664-5860
(501) 664-0889

Map and Direction




Provider's Profile

Full NameLisa M Ivy
GenderFemale
SpecialityNurse Practitioner
Experience27 Years
Location7 Shackleford West Blvd, Little Rock, Arkansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lisa M Ivy attended and graduated from Vanderbilt University School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1033103296
  • Provider Enumeration Date: 09/02/2005
  • Last Update Date: 02/16/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4880645878
  • Enrollment ID: I20050318000893

Medical Identifiers

Medical identifiers for Lisa M Ivy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033103296NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care A01826 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Marys Regional Medical CenterRussellville, ARHospital
Johnson Regional Medical CenterClarksville, ARHospital
Chambers Memorial HospitalDanville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Arkansas Heart Hospital Llc600283865390
Arkansas Heart Hospital Rural Health Services, Llc620400481553

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lisa M Ivy allows following entities to bill medicare on her behalf.
Entity NameArkansas Heart Hospital Rural Health Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548553811
PECOS PAC ID: 6204004815
Enrollment ID: O20110727000090
Entity NameArkansas Heart Hospital Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558653212
PECOS PAC ID: 6002838653
Enrollment ID: O20110729000327

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa M Ivy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lisa M Ivy, ANP
7 Shackleford West Blvd,
Little Rock, AR 72211-3714

Ph: (501) 664-5860
Lisa M Ivy, ANP
7 Shackleford West Blvd,
Little Rock, AR 72211-3714

Ph: (501) 664-5860

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.