Individual provider Active NPI

Tiffany D Lopez, MSN, CRNP, WHNP-BC

  • Women's Health Nurse Practitioner
  • Bel Air, MD
National Provider Identifier
1033703640
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
SP022502 Issued in PA
Practice address
520 Upper Chesapeake Dr Ste 301
Bel Air, MD 21014-4375
Phone
(443) 643-4300
NPI assigned
Feb 24, 2021
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X SP022502 PA
Women's Health Nurse Practitioner 363LW0102X SP022502 PA Primary

Addresses

Primary practice location

520 Upper Chesapeake Dr Ste 301
Bel Air, MD 21014-4375

Mailing address

520 Upper Chesapeake Dr Ste 301
Bel Air, MD 21014-4375
Phone (443) 643-4300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tcasimiro197682@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210406000214 PA Practitioner - Nurse Practitioner 5698182830 Reassigns benefits to 1 organization
I20230308001410 MD Practitioner - Nurse Practitioner 5698182830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Susquehanna OB-GYN LLCGroup PAC ID 9335129766, 7 clinicians

Practice addresses (Care Compare)

520 Upper Chesapeake Dr
Suite 301
Bel Air, MD 21014-4375
Phone (443) 643-4300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.69 of 100Reported as group
Quality
86.34
Improvement activities
40
Cost
74.99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP022502PAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Susquehanna OB-GYN LLC CurrentSince Mar 6, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2021 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Feb 1, 2026 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Maryland Physicians Edge LLC Women's Health CurrentSince Feb 1, 2026 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 1, 2021 Accepting new patients

Locations

520 Upper Chesapeake Dr
Ste 301
Bel Air, MD 21014
Phone (410) 643-4300

308 N Union Ave
Hvre de Grace, MD 21078
Phone (410) 939-3121

20 North St
Hanover, PA 17331
Phone (717) 637-7755

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: tiffany.casimiro.1@18404.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1033703640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144375",
            "telephone_number": "443-643-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 UPPER CHESAPEAKE DR STE 301",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144375",
            "telephone_number": "443-643-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "TIFFANY",
        "middle_name": "D",
        "credential": "MSN, CRNP, WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP022502",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "PA",
            "license": "SP022502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcasimiro197682@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "20 North St",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173312275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

Verify at the official NPI Registry.