Individual provider Active NPI

Jessica S Lopez, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Whitestone, NY
National Provider Identifier
1184085136
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F307662-1 Issued in NY
Practice address
1802 Petracca PL
Whitestone, NY 11357-6000
Phone
(646) 722-7610
NPI assigned
Mar 17, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Harmony Medical Services of New York PLLC 14 clinicians

Practice addresses (Care Compare)

Westbury, NY 11590
Phone (516) 266-9585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20180220001206 NY Practitioner - Nurse Practitioner 2163783846 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F307662-1NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New York, PLLC CurrentSince Apr 4, 2025 Accepting new patients

Locations

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

Interoperability endpoints

  • Direct secure messaging: ms_jlope156@landmarkhealth-direct.org
  • Direct secure messaging: jessica.lopez.1@32913.direct.athenahealth.com

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F307662-1 NY Primary

Addresses

Primary practice location

1802 Petracca PL
Whitestone, NY 11357-6000

Mailing address

305 E 7TH St
Brooklyn, NY 11218-3313
Phone (646) 784-9699

Other practice location 1

1250 Broadway Fl Hospice4
New York, NY 10001-3701
Phone (212) 609-1920

Other practice location 2

9900 Bren Rd E
Mail Route MN 008-B213
Minnetonka, MN 55343-9664
Phone (917) 579-2654

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 18, 2025.

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1184085136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E 7TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183313",
            "telephone_number": "646-784-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 PETRACCA PL",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113576000",
            "telephone_number": "646-722-7610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Broadway Fl Hospice4",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100013701",
            "country_code": "US",
            "telephone_number": "212-609-1920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9900 Bren Rd E",
            "address_2": "Mail Route MN 008-B213",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553439664",
            "country_code": "US",
            "telephone_number": "917-579-2654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JESSICA",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F307662-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

Verify at the official NPI Registry.