LUIS WILFREDO LOPEZ-RODRIGUEZ PLP
NPI 1619502846
Psychologist in Arcadia, FL

Active since March 09, 2020PECOS Enrolled
725 N 12TH AVE BLDG B, ARCADIA, FL 34266(417) 761-5000 Get Directions Write a Review

NPPES record last updated: February 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 17, 2023, Nov 10, 2022, Jul 7, 2021 and 2 more (5 updates tracked since 2020).

About Luis Wilfredo Lopez-rodriguez Plp NPPES

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

LUIS WILFREDO LOPEZ-RODRIGUEZ PLP (NPI 1619502846) is an individual psychologist in Arcadia, Florida and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619502846
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameLUIS WILFREDO LOPEZ-RODRIGUEZCredential: PLP
Location Address725 N 12TH AVE BLDG BArcadia, FL 34266-8752
Mailing Address101 Riverfront Blvd Ste 710Bradenton, FL 34205-8812 · (941) 776-4000
Sole ProprietorNo
Enumeration DateMarch 9, 2020
Last NPPES UpdateFebruary 17, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2023
✔ NPI 1619502846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 2020030184 (MO), PY11347 (FL)
725 N 12TH AVE BLDG B, Arcadia, FL 34266

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Wilfredo Lopez-rodriguez Plp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Luis Lopez-rodriguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
12271 US HIGHWAY 301 N
Parrish, FL 34219
  • Reassigned Medicare billing, Florida enrollment
  • 709 clinicians in this Medicare group
Clinical Neuropsychologist
2008 N GOLDENROD RD BLDG 300
Orlando, FL 32807
  • Reassigned Medicare billing, Florida enrollment

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Psychiatry & Neurology (Psychiatry)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Psychologist
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Social Worker (Clinical)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Social Worker (Clinical)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Psychologist
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Social Worker (Clinical)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Nurse Practitioner (Psychiatric/Mental Health)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266
Nurse Practitioner (Psychiatric/Mental Health)
725 N 12TH AVE BLDG B
ARCADIA, FL 34266

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 Luis Lopez-rodriguez's NPI number?

The NPI number for Luis Lopez-rodriguez is 1619502846. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Luis Lopez-rodriguez located?

Luis Lopez-rodriguez practices at 725 N 12th Ave Bldg B, Arcadia, FL 34266. The listed phone number is (417) 761-5000.

What is Luis Lopez-rodriguez's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Luis Lopez-rodriguez enrolled in Medicare?

Yes. Luis Lopez-rodriguez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Luis Lopez-rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Lopez-rodriguez reassigns Medicare benefits to 2 organizations: Mcr Health, Inc. (Parrish, FL) and Rapha Family Centre LLC (Orlando, FL). 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 Luis Lopez-rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Lopez-rodriguez accept?

Health plans from AmeriHealth Caritas Next, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 2 other insurers list Luis Lopez-rodriguez 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 Luis Lopez-rodriguez was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.