MICHAEL LOPEZ CRNA
NPI 1124432976
Nurse Anesthetist, Certified Registered in Portland, OR

Active since June 19, 2014Accepts Medicare Assignment
1015 NW 22ND AVE, PORTLAND, OR 97210(503) 413-7711 Get Directions Write a Review

NPPES record last updated: June 19, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Lopez Crna NPPES

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

MICHAEL LOPEZ CRNA (NPI 1124432976) is an individual nurse anesthetist, certified registered in Portland, Oregon, licensed in Oregon (201403004CRNA) and active in the NPI registry since June 2014. He is affiliated with Providence Newberg Medical Center and is a graduate of Other (2014).

NPPES Registry Identity

NPI1124432976
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMICHAEL LOPEZCredential: CRNA
Location Address1015 NW 22ND AVEPortland, OR 97210-3025
Mailing Address1431 Centerpoint Blvd, Suite 100Knoxville, TN 37932-1984 · (865) 985-7053 · Fax (865) 291-3634
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 19, 2014
✔ NPI 1124432976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OR · 201403004CRNA
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1015 NW 22ND AVE, Portland, OR 97210

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Lopez Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789802356
PECOS Enrollment IDI20140822000908

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Lopez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
10150 SE 32ND AVE
Milwaukie, OR 97222
  • Reassigned Medicare billing, Oregon enrollment
  • 183 clinicians in this Medicare group
Anesthesiology
1001 N PROVIDENCE DR
Newberg, OR 97132
  • Reassigned Medicare billing, Oregon enrollment
  • 51 clinicians in this Medicare group
Rural Health
254 NE NORTON LN
Mcminnville, OR 97128
  • Reassigned Medicare billing, Oregon enrollment
  • 76 clinicians in this Medicare group

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

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Providence Newberg Medical Center

Acute Care Hospitals · Newberg, OR
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number380037
Location1001 Providence DriveNewberg, OR 97132 · Yamhill County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97210 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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.

Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine (Infectious Disease)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Student in an Organized Health Care Education/Training Program
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pharmacist
1015 NW 22ND AVE
PORTLAND, OR 97210

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 Michael Lopez's NPI number?

The NPI number for Michael Lopez is 1124432976. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Michael Lopez located?

Michael Lopez practices at 1015 NW 22nd Ave, Portland, OR 97210. The listed phone number is (503) 413-7711.

What is Michael Lopez's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Michael Lopez enrolled in Medicare?

Yes. Michael Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michael Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lopez reassigns Medicare benefits to 3 organizations: Anesthesia Associates Northwest LLC (Milwaukie, OR), Premier Anesthesia Of Oregon PC (Newberg, OR) and Willamette Valley Clinics LLC (Mcminnville, OR). Each 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 Michael Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Lopez affiliated with any hospitals?

According to CMS data, Michael Lopez is affiliated with Providence Newberg Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Lopez was last updated on June 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.