EDGLIS LOPEZ SOTOLONGO APRN
NPI 1851860548
Behavior Analyst in Miami, FL

Active since November 25, 2018PECOS Enrolled
3448 NW 79TH ST, MIAMI, FL 33147(855) 226-6633 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 17, 2024, Feb 9, 2023, Jun 3, 2019 and 1 more (4 updates tracked since 2018).

About Edglis Lopez Sotolongo Aprn NPPES

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

EDGLIS LOPEZ SOTOLONGO APRN (NPI 1851860548) is an individual behavior analyst provider in Miami, Florida, licensed in Florida (1-24-74918) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851860548
Entity TypeIndividualMale
Primary Taxonomy103K00000X
Provider Legal NameEDGLIS LOPEZ SOTOLONGOCredential: APRN
Location Address3448 NW 79TH STMiami, FL 33147-4602
Mailing Address6822 W 2nd CtHialeah, FL 33014-5302 · (786) 609-1910
Sole ProprietorNo
Enumeration DateNovember 25, 2018
Last NPPES UpdateSeptember 17, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2024
✔ NPI 1851860548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyBehavior AnalystBehavioral Health & Social Service Providers
Taxonomy Code103K00000X
License✔ Licensed in FL · 1-24-74918
Definition
A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11000084 (FL), APRN11000084 (FL)
3448 NW 79TH ST, Miami, FL 33147

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)

Edglis Lopez Sotolongo Aprn 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 Edglis Lopez Sotolongo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pulmonary Disease
1611 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
Community/Behavioral Health
15271 NW 60TH AVE STE 101
Miami Lakes, FL 33014
  • 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.

Areas of Expertise CMS Part B claims 4

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
33 services20 patients
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.
29 services13 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
19 services17 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
17 services11 patients

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$45.48 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Family Medicine
3448 NW 79TH ST
MIAMI, FL 33147
General Practice
3448 NW 79TH ST
MIAMI, FL 33147
General Practice
3448 NW 79TH ST
MIAMI, FL 33147
Family Medicine
3448 NW 79TH ST
MIAMI, FL 33147

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 Edglis Lopez Sotolongo's NPI number?

The NPI number for Edglis Lopez Sotolongo is 1851860548. It was assigned to this individual provider in the NPPES registry on November 25, 2018.

Where is Edglis Lopez Sotolongo located?

Edglis Lopez Sotolongo practices at 3448 NW 79th St, Miami, FL 33147. The listed phone number is (855) 226-6633.

What is Edglis Lopez Sotolongo's specialty?

The primary specialty registered for this NPI is Behavior Analyst with taxonomy code 103K00000X.

Is Edglis Lopez Sotolongo enrolled in Medicare?

Yes. Edglis Lopez Sotolongo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edglis Lopez Sotolongo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edglis Lopez Sotolongo reassigns Medicare benefits to 2 organizations: University Of Miami (Miami, FL) and Vous Behavioral Group Inc (Miami Lakes, 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 Edglis Lopez Sotolongo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edglis Lopez Sotolongo accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health and 2 other insurers list Edglis Lopez Sotolongo 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 Edglis Lopez Sotolongo was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.