LISA M GRUMMER (APN) – Obstetrics & Gynecology Nurse Practitioner, NPI 1124096151
Obstetrics & Gynecology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,410 NURSE PRACTITIONER in AR
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Provider Addresses for LISA M GRUMMER (APN)
Lile Court, Little Rock, Pulaski County, Arkansas, 772211, United States
SUTE 200
LITTLE ROCK, AR 722056242
Phone: (501) 224-5500
Fax: (501) 224-1166
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 66 Open Payments records for all available years, with a total value of $1,216.
Total Amount is formed as General ($1,216) + Research ($0) + Ownership ($0) = $1,216.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Astellas Pharma US Inc ($196).
Total Amount
$1,216
General + Research + Ownership
Payments
66
Total payment records
General Amount
$1,216
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040202001056 | I | Nurse Practitioner | AR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 36 | 36 | $0 |
Insurance plans in this area (ZIP 72205)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| - | AR | |
| Nurse Practitioner | AR | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| Nurse Practitioner | AR | |
| - | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | AR |
Reviews
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