Jessica M Lopez Fontanez

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11013145 Issued in FL

Practice address

5605 Mauna Loa Blvd Unit 113
Sarasota, FL 34240-8942

Phone

(813) 534-8196

NPI assigned

Jul 30, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Restore Medical Partners PLLCGroup PAC ID 1951682426, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087

Merit-based Incentive Payment System (MIPS)

Final score

48.82 of 100Reported as group

Quality

0

Promoting interoperability

100

Improvement activities

0

Cost

75.32

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11607/brand/1/csg/1/fhir/r4
• Direct secure messaging: jessica.lopez.fontanez.1@13915.direct.athenahealth.com
• Direct secure messaging: jessicalopez-fontanez@fus.medalliesdirect.net

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

• Restore Medical Partners, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Venice, FL
  • NPI 1891148250
  Medicare reassignment Care Compare group NPD
• Vigafra PLLC

  • Interventional Pain Medicine Physician
  • Bradenton, FL
  • NPI 1316154958
  Medicare reassignment NPD
• Florida Urology Specialists

  • Urology Physician
  • Sarasota, FL
  • NPI 1073600417
  NPD
• Restore Medical Partners, PLLC

  • Podiatrist
  • Venice, FL
  • NPI 1639788714
  NPD

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

• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1073286498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 MAUNA LOA BLVD UNIT 113",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408942",
            "telephone_number": "813-534-8196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 MAUNA LOA BLVD UNIT 113",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342408942",
            "telephone_number": "813-534-8196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ FONTANEZ",
        "first_name": "JESSICA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11013145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "11013145",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellie Ann Longdon, MD
• Longevity Acupuncture
• Longevity Chiropractic LLC
• Mark B Lonstein, M.D.
• Gabriel Maia Lopes
• Lopez Pain Management LLC
• Ana Lopez, APRN-BC, PMHNP-BC
• John Lopez III, LMHC
• Joyia M Lopez, ARNP
• Manuel Lopez, ATC, CSCS

• Family Nurse Practitioner in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.