Tricia-Kay Ellersick-Lopez, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP014274 Issued in PA

Practice address

3899 Wood Dr
Walnutport, PA 18088-9414

Phone

(570) 801-6255

NPI assigned

Sep 27, 2014

Last updated

May 12, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Accepts the Medicare-approved amount as payment in full

Group practices

Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lehigh Valley Hospital - Pocono Hospital, East Stroudsburg, PA, CCN 390201

Merit-based Incentive Payment System (MIPS)

Final score

81.09 of 100Reported as group

Quality

74.47

Promoting interoperability

86

Improvement activities

40

Cost

74.16

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tellersick117227@direct2.lvhn.org

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.

• Lehigh Valley Physician Group

  dba LVPG Developmental Pediatrics

  • Developmental - Behavioral Pediatrics Physician
  • Allentown, PA
  • NPI 1780155689
  Medicare reassignment Care Compare group
• Family Care Centers Inc.

  dba Lehigh Valley Physician Group - Pocono

  • Internal Medicine Physician
  • E Stroudsburg, PA
  • NPI 1669563037
  Medicare reassignment NPD
• Schuylkill Health System Medical Group, Inc.

  dba Lehigh Valley Physician Group-Schuylkill

  • Internal Medicine Physician
  • Pottsville, PA
  • NPI 1588603567

  Family

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  PA

  Medicare reassignment NPD
• Tkel Management LLC

  dba Beautique Spa LLC

  • Family Nurse Practitioner
  • Macungie, PA
  • NPI 1477250991
  NPD Authorized official
• Family Care Centers Inc

  dba LVPG ExpressCare Pocono

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1316409626
  NPD
• Lehigh Valley Physician Group

  dba LVPG Family and Internal Medicine - East Stroudsburg

  • Family Medicine Physician
  • East Stroudsburg, PA
  • NPI 1245093368
  NPD
• Lehigh Valley Physician Group

  • Transplant Surgery Physician
  • Allentown, PA
  • NPI 1457309650
  NPD
• Lehigh Valley Physician Group

  dba LVPG Reg Nutritionist

  • Registered Dietitian
  • Allentown, PA
  • NPI 1790073963
  NPD
• Minimally Invasive Care Institute of Lehigh Valley LLC

  • Vascular Surgery Physician
  • Bethlehem, PA
  • NPI 1477083335
  NPD
• Pocono Surgical Associates

  • Specialist
  • East Stroudsburg, PA
  • NPI 1245311067
  NPD
• Schuylkill Health System Medical Group, Inc.

  dba LVPG ExpressCare Schuylkill

  • Emergency Medicine Physician
  • Pottsville, PA
  • NPI 1063073823
  NPD

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

• Lehigh Valley Hospital Pocono

  • General Acute Care Hospital
  • East Stroudsburg, PA
  • NPI 1568459436
  Care Compare affiliation

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

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1376946970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3899 WOOD DRIVE",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "18088",
            "telephone_number": "570-801-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3899 WOOD DR",
            "city": "WALNUTPORT",
            "state": "PA",
            "postal_code": "180889414",
            "telephone_number": "570-801-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERSICK-LOPEZ",
        "first_name": "TRICIA-KAY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-27",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP014274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Dematto, RPH
• Lisa Jill Doherty, DO
• Stephanie Dorney
• Brandon M Dunbar, O.D.
• Eckerd Corporation (Rite Aid Pharmacy 11049)
• Donald Ryan Evans, OT
• Everett Chiropractic, P.C.
• Michael Kenneth Everett, D.C.
• F. Joseph Werner, O.D. PC
• Holcomb Associates, Inc.

• Family Nurse Practitioner in Walnutport, PA
• Providers in Walnutport, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.