Individual provider Active NPI

Joelle Lopez

  • Family Nurse Practitioner
  • King George, VA
National Provider Identifier
1275299315
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024182712 Issued in VA
Practice address
11458 Kings Hwy
King George, VA 22485-4200
Phone
(540) 775-2284
NPI assigned
Nov 12, 2021
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024182712 VA Primary

Addresses

Primary practice location

11458 Kings Hwy
King George, VA 22485-4200

Mailing address

11458 Kings Hwy
King George, VA 22485-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220331003068 VA Practitioner - Nurse Practitioner 8527453299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardinal Internal Medicine AssociatesGroup PAC ID 2769379148, 7 clinicians

Practice addresses (Care Compare)

12731 Marblestone Dr
Suite 200
Woodbridge, VA 22192-8334
Phone (703) 897-4700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.28 of 100Reported as group
Quality
86.06
Promoting interoperability
100
Improvement activities
40
Cost
74.87

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Internal Medicine Associates CurrentSince Sep 1, 2023 Accepting new patients

Locations

12604 Lake Ridge Dr
Woodbridge, VA 22192
Phone (703) 497-4700

12731 Marblestone Dr
Ste 200
Woodbridge, VA 22192
Phone (703) 497-4700

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FCJAAA

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, 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": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1275299315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11458 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11458 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854200",
            "telephone_number": "540-775-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024182712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King George, VA

Sources for this page

Verify at the official NPI Registry.