Individual provider Active NPI

Kristen Lopez, P.A.

  • Physician Assistant
  • Frederick, MD
National Provider Identifier
1144220591
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C03057 Issued in MD
Practice address
400 W 7TH St
Frederick, MD 21701-4506
Phone
(240) 566-3300
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C03057 MD Primary

Addresses

Primary practice location

400 W 7TH St
Frederick, MD 21701-4506

Mailing address

400 W 7TH St
Frederick, MD 21701-4506

Other practice location 1

11711 Livingston Rd
Fort Washington, MD 20744-5151
Phone (301) 203-2250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20050324001177 MD Practitioner - Physician Assistant 0143276808 Reassigns benefits to 5 organizations
I20060921000081 DC Practitioner - Physician Assistant 0143276808 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Medstar Urgent Care LLCGroup PAC ID 9335303155, 300 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

11915 Georgia Ave
Wheaton, MD 20902-2065
Phone (301) 942-4505

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

1805 Columbia Rd NW
MMG Adams Morgan
Washington, DC 20009-2001
Phone (202) 797-4950

18101 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 570-7404

18105 Prince Philip Dr
Olney, MD 20832-1514
Phone (301) 774-8962

3007 Tilden St NE
Suite 5N
Washington, DC 20008-3030

3007 Tilden St NW
Washington, DC 20008-3030

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (703) 558-1400

7503 Surratts Rd
Clinton, MD 20735-3358
Phone (301) 868-8000

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

  • Medstar Washington Hospital Center Hospital, Washington, DC, CCN 090011
  • Medstar Southern Maryland Hospital Center Hospital, Clinton, MD, CCN 210062

Merit-based Incentive Payment System (MIPS)

Final score
82.34 of 100Reported as group
Quality
67.9
Promoting interoperability
100
Improvement activities
40
Cost
69.47

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as group
Quality
80.29
Promoting interoperability
100
Improvement activities
40
Cost
75.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2739WVMDPhysical Therapist
C03057MDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
WHC Physician Group LLC CurrentSince Oct 1, 2021 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Dec 1, 2020 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Sep 1, 2016 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Jan 1, 2020 Accepting new patients
Upmc Western Maryland Corporation CurrentSince Jul 10, 2016 Accepting new patients
WHC Emerg Phys CurrentSince Oct 1, 2021 Accepting new patients
Emergency Medicine Associates, PA CurrentSince Sep 1, 2016 Accepting new patients
Greater Washington Emergency Physicians Chartered Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Upmc Western Maryland Health Services, LLC Past Accepting new patients
Southern Chester County Emergency Room Associates PC Past Accepting new patients
Mep of Bristol, LLC Past Accepting new patients
Delphi Healthcare Partners of Maryland LLC Past Accepting new patients

Locations

110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000

228 7th St SE
Washington, DC 20003
Phone (202) 696-0795

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

5454 Wisconsin Ave
Ste 401
Chevy Chase, MD 20815
Phone (301) 215-9440

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255

10701 New Georges Creek Rd SW
Frostburg, MD 21532
Phone (301) 689-2941

701 Charles St
La Plata, MD 20646
Phone (301) 609-4000

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11355 Pembrooke Sq
Ste 108
Waldorf, MD 20603
Phone (202) 877-6733

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: klopez400964@direct.hopkinsmedicine.org

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1144220591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11711 Livingston Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Washington",
            "state": "MD",
            "postal_code": "207445151",
            "country_code": "US",
            "telephone_number": "301-203-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "KRISTEN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.