JACQUELINE MARIE LOPEZ RPA-C
NPI 1477828952
Physician Assistant - Surgical in Bay Shore, NY
About Jacqueline Marie Lopez Rpa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE MARIE LOPEZ RPA-C (NPI 1477828952) is an individual surgical provider in Bay Shore, New York, licensed in New York (23015496) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and maintains a secondary practice location in Mineola.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacqueline Marie Lopez Rpa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ns/Lij Hs Southside Hospital
Acute Care Hospitals · Bay Shore, NYMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
BAY SHORE, NY 11706
BAY SHORE, NY 11706
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 Jacqueline Lopez's NPI number?
The NPI number for Jacqueline Lopez is 1477828952. It was assigned to this individual provider in the NPPES registry on March 15, 2012.
Where is Jacqueline Lopez located?
Jacqueline Lopez practices at 301 E Main St, Bay Shore, NY 11706. The listed phone number is (516) 521-3744.
What is Jacqueline Lopez's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Jacqueline Lopez enrolled in Medicare?
Yes. Jacqueline 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.
Is Jacqueline Lopez affiliated with any hospitals?
According to CMS data, Jacqueline Lopez is affiliated with Ns/Lij Hs Southside Hospital.
When was this NPI record last updated?
The NPPES record for Jacqueline Lopez was last updated on June 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jacqueline Marie Lopez, RPA-C · NPI 1477828952
Surgical physician in Bay Shore, New York. Individual provider, active in the CMS NPPES registry since March 15, 2012.
## Identity
- **NPI:** 1477828952 (Entity type: Individual)
- **Enumerated:** March 15, 2012
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 23015496 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 E MAIN ST, Bay Shore, NY 11706-8408
- **Phone:** (516) 521-3744
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** June 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1477828952) · Data from the CMS NPPES public registry.