LISSETTE LOPEZ LOPEZ RN
NPI 1609428705
Nurse Anesthetist, Certified Registered in Miami, FL

Q: What is Lissette Lopez Lopez's NPI number?

The NPI number for Lissette Lopez Lopez is 1609428705. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Lissette Lopez Lopez's specialty?

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

Active since July 10, 2019Accepts Medicare Assignment

11750 SW 40TH ST, MIAMI, FL 33175(305) 223-3000 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2020, Jul 10, 2019 (2 updates tracked since 2019).

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About Lissette Lopez Lopez Rn NPPES

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

LISSETTE LOPEZ LOPEZ RN (NPI 1609428705) is an individual nurse anesthetist, certified registered in Miami, Florida, licensed in Florida (ME107145) and active in the NPI registry since July 2019. She is affiliated with Hca Florida Kendall Hospital and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609428705

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameLISSETTE LOPEZ LOPEZCredential: RN

Location Address11750 SW 40TH STMiami, FL 33175-3530

Mailing Address15590 Sw 42nd LnMiami, FL 33185-4209 · (786) 390-3285

Phone(305) 223-3000

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 10, 2019

Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration

✔ NPI 1609428705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in FL · ME107145

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.

Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN9288831 (FL)

11750 SW 40TH ST, Miami, FL 33175

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

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

Lissette Lopez Lopez Rn 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 ID143656983

PECOS Enrollment IDI20200214000576

Medicare Billing Reassignment

Medicare enrollment records show Lissette Lopez Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Physician Solutions Of South Florida, LLC

Same address

Anesthesiology

11750 SW 40TH ST
Miami, FL 33175

Reassigned Medicare billing, Florida enrollment
562 clinicians in this Medicare group

NPI 1104248699 (954) 939-5000

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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100209

Location11750 Bird RdMiami, FL 33175 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

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.

JACKLYN REYES PANCRUDO D.O.

Internal Medicine (Critical Care Medicine)