CHARISSA ANYEL LOPEZ PMHNP
NPI 1750788584
Registered Nurse - Psychiatric/Mental Health in Mesa, AZ

Active since November 21, 2014Opted out of Medicare · through Oct 1, 2027
1255 W BASELINE RD STE 138, MESA, AZ 85202(480) 820-5422(480) 775-4938 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Charissa Anyel Lopez Pmhnp NPPES

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

CHARISSA ANYEL LOPEZ PMHNP (NPI 1750788584) is an individual psychiatric/mental health provider in Mesa, Arizona, licensed in Arizona (AP7463) and active in the NPI registry since November 2014. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1750788584
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameCHARISSA ANYEL LOPEZCredential: PMHNP
Location Address1255 W BASELINE RD STE 138Mesa, AZ 85202-5821
Mailing Address1255 W Baseline Rd Ste 138Mesa, AZ 85202-5821 · (480) 820-5422 · Fax (480) 775-4938
Fax(480) 775-4938
Sole ProprietorNo
Enumeration DateNovember 21, 2014
NPI 1750788584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License Licensed in AZ · AP7463
1255 W BASELINE RD STE 138, Mesa, AZ 85202

Other Identifiers 1

MedicaidPENDINGAZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Charissa Anyel Lopez Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist (Mental Health)
1255 W BASELINE RD STE 138
MESA, AZ 85202
Clinic/Center (Rehabilitation, Substance Use Disorder)
1255 W BASELINE RD STE 138
MESA, AZ 85202
Student in an Organized Health Care Education/Training Program
1255 W BASELINE RD STE 138
MESA, AZ 85202
Pharmacist
1255 W BASELINE RD STE 138
MESA, AZ 85202

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 Charissa Lopez's NPI number?

The NPI number for Charissa Lopez is 1750788584. It was assigned to this individual provider in the NPPES registry on November 21, 2014.

Where is Charissa Lopez located?

Charissa Lopez practices at 1255 W Baseline Rd Ste 138, Mesa, AZ 85202. The listed phone number is (480) 820-5422.

What is Charissa Lopez's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Charissa Lopez enrolled in Medicare?

No. Charissa Lopez has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Charissa Lopez accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Charissa 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 Charissa Lopez was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.