SOPHIA LOPEZ
NPI 1508330911
Nurse Practitioner - Psychiatric/Mental Health in New Britain, CT

Active since January 18, 2019PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
73 CEDAR ST, NEW BRITAIN, CT 06052(860) 224-5267 Get Directions Write a Review

NPPES record last updated: June 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2023, Oct 30, 2020, Jan 18, 2019 (3 updates tracked since 2019).

About Sophia Lopez NPPES

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

SOPHIA LOPEZ (NPI 1508330911) is an individual psychiatric/mental health provider in New Britain, Connecticut, licensed in Connecticut (8050) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Enfield, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1508330911
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSOPHIA LOPEZ
Location Address73 CEDAR STNew Britain, CT 06052-1301
Mailing Address73 Cedar StNew Britain, CT 06052-1301 · (860) 224-5267
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 18, 2019
Last NPPES UpdateJune 3, 20233 updates tracked since enumeration
NPPES CertifiedJune 3, 2023
NPI 1508330911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CT · 8050
73 CEDAR ST, New Britain, CT 06052

Secondary Practice Location 1

Location 1174 South Rd Ste 125Enfield, CT 06082-4414 · Phone (860) 810-7374 · Fax (860) 810-7374

Accepted Insurance

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

Sophia Lopez 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 ID42543498
PECOS Enrollment IDI20190618000455
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06052 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare 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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.37
Promoting Interoperability100
Improvement Activities40
Cost56.52

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.

Nurse Practitioner (Psychiatric/Mental Health)
73 CEDAR ST
NEW BRITAIN, CT 06052
Social Worker
73 CEDAR ST, NEW BRITIAN GENERAL HOSPITAL HISPANIC COUNSELING CENTER
NEW BRITAIN, CT 06052
Orthopaedic Surgery (Sports Medicine)
73 CEDAR ST
NEW BRITAIN, CT 06052
Social Worker (Clinical)
73 CEDAR ST
NEW BRITAIN, CT 06052
Social Worker (Clinical)
73 CEDAR ST
NEW BRITAIN, CT 06052
Marriage & Family Therapist
73 CEDAR ST
NEW BRITAIN, CT 06052
Orthopaedic Surgery
73 CEDAR ST, GROVE HILL MEDICAL CENTER
NEW BRITAIN, CT 06052
Social Worker (Clinical)
73 CEDAR ST
NEW BRITAIN, CT 06052

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 Sophia Lopez's NPI number?

The NPI number for Sophia Lopez is 1508330911. It was assigned to this individual provider in the NPPES registry on January 18, 2019.

Where is Sophia Lopez located?

Sophia Lopez practices at 73 Cedar St, New Britain, CT 06052. The listed phone number is (860) 224-5267.

What is Sophia Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sophia Lopez enrolled in Medicare?

Yes. Sophia 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.

What insurance does Sophia Lopez accept?

Health plans from Providence Health Plan list Sophia Lopez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sophia Lopez was last updated on June 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.