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KELSEY LYNN LOPEZ PA-C
NPI 1417466228
Physician Assistant in Bronx, NY

Active since September 25, 2017PECOS Enrolled
3424 KOSSUTH AVE, BRONX, NY 10467(718) 519-5000 Get Directions Write a Review

NPPES record last updated: February 10, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelsey Lynn Lopez Pa-c NPPES

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

KELSEY LYNN LOPEZ PA-C (NPI 1417466228) is an individual physician assistant in Bronx, New York, licensed in New York (021371) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417466228
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELSEY LYNN LOPEZCredential: PA-C
Location Address3424 KOSSUTH AVEBronx, NY 10467-2410
Mailing Address3424 Kossuth AveBronx, NY 10467-2410 · (917) 581-3550
Phone(718) 519-5000
Sole ProprietorNo
Enumeration DateSeptember 25, 2017
Last NPPES UpdateFebruary 10, 2022
NPPES CertifiedFebruary 10, 2022
✔ NPI 1417466228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 021371
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3424 KOSSUTH AVE, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Lynn Lopez Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

MR. PERVEZ ALI RPH
Pharmacist
3424 KOSSUTH AVE
BRONX, NY 10467
Bronx County (718) 519-3575
MRS. DORINA M. SANDU RPH., MS
Pharmacist
3424 KOSSUTH AVE
BRONX, NY 10467
Bronx County (718) 519-3579
ROCHIELLE CORLETTE MA, LCAT, ATR-BC
Art Therapist
3424 KOSSUTH AVE
BRONX, NY 10467
Bronx County (718) 519-5000
NEW YORK CITY HEALTH AND HOSPITALS CORPORATION
General Acute Care Hospital
3424 KOSSUTH AVE
BRONX, NY 10467
Bronx County (718) 918-3677
MRS. MIRIAM STEPHANIE JUNOR CDE
Registered Nurse (Diabetes Educator)
3424 KOSSUTH AVE
BRONX, NY 10467
Bronx County (718) 515-1434
MR. THOMAS PAUL RUFF JR. PA-C
Physician Assistant (Medical)
3424 KOSSUTH AVE
BRONX, NY 10467
Bronx County (718) 519-5000
NATASHA TATUM LCSW
Social Worker (Clinical)
3424 KOSSUTH AVE
BRONX, NY 10467
Bronx County (718) 519-4777
DR. STRAHINJA GLIGOREVIC MD
Student in an Organized Health Care Education/Training Program
3424 KOSSUTH AVE
BRONX, NY 10467
Bronx County (718) 519-3817

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 Kelsey Lopez's NPI number?

The NPI number for Kelsey Lopez is 1417466228. It was assigned to this individual provider in the NPPES registry on September 25, 2017.

Where is Kelsey Lopez located?

Kelsey Lopez practices at 3424 Kossuth Ave, Bronx, NY 10467. The listed phone number is (718) 519-5000.

What is Kelsey Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelsey Lopez enrolled in Medicare?

Yes. Kelsey Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Lopez was last updated on February 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.