CHARISSA ANYEL LOPEZ PMHNP
NPI 1750788584
Registered Nurse - Psychiatric/Mental Health in Mesa, AZ
NPI Status: Active since November 21, 2014
Contact Information
1255 W BASELINE RD STE 138
MESA, AZ
ZIP 85202
Phone: (480) 820-5422
Fax: (480) 775-4938
- Individual
- Female
- Registered Nurse
- Psychiatric/Mental Health
- Accepts Insurance
- Opted-Out Medicare
About CHARISSA LOPEZ
This page provides the complete NPI Profile along with additional information for Charissa Lopez, a provider established in Mesa, Arizona with a medical specialization in Registered Nurse, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1750788584 assigned on November 2014. The practitioner's primary taxonomy code is 163WP0808X with license number AP7463 (AZ). The provider is registered as an individual and her NPI record was last updated 12 years ago.
- NPI
- 1750788584
- Provider Name
- CHARISSA ANYEL LOPEZ PMHNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1255 W BASELINE RD STE 138 MESA, AZ 85202
- Location Phone
- (480) 820-5422
- Location Fax
- (480) 775-4938
- Mailing Address
- 1255 W BASELINE RD STE 138 MESA, AZ 85202
- Mailing Phone
- (480) 820-5422
- Mailing Fax
- (480) 775-4938
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-21-2014
- Last Update Date
- 11-21-2014
- Code Navigator
A registered nurse (RN) like Charissa Lopez coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.
Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Charissa Lopez opted out of Medicare effective on 10-01-2021 until 10-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Registered Nurse Psychiatric/Mental Health
- Taxonomy Code
- 163WP0808X
- Type
- Nursing Service Providers
- License No.
- AP7463
- License State
- AZ
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic Standard - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Simple - HMO
- Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
- Bronze Simple Chronic Care CKM - HMO
- Buena Salud Bronce Simple Para Diabetes - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Gold Simple - HMO
- Gold Simple Diabetes - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
- Silver Simple Diabetes - HMO
- Silver Simple PCP Saver - HMO
- Silver Simple Specialist Saver with COPD - HMO
- Silver Simple Women's Health with Menopause Benefits - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Bronze Essential ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard+ (Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Silver Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| PENDING | MEDICAID (05) | AZ |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2021
Opt-Out End Date: 10-01-2027
Eligible to Order and Refer? No
Reviews for CHARISSA ANYEL LOPEZ PMHNP
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1750788584, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
MESA, AZ 85202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750788584, enumerated as an "individual" on November 21, 2014.
The provider is located at 1255 W BASELINE RD STE 138 MESA, AZ 85202 and the phone number is (480) 820-5422.
Registered Nurse with taxonomy code 163WP0808X and a focus in Psychiatric/Mental Health.
The provider might be accepting Accepts: Oscar Health Plan, Inc., UnitedHealthcare,. Please consult your insurance carrier or call the provider to verify.
