Individual provider Active NPI

Brianna Kate Lopez, PA-C

  • Medical Physician Assistant
  • Amsterdam, NY
National Provider Identifier
1417470998
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
020964 Issued in NY
Practice address
1700 Riverfront Ctr
Amsterdam, NY 12010-4620
Phone
(518) 843-0020
Fax
(518) 843-0023
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 020964 NY Primary

Addresses

Primary practice location

1700 Riverfront Ctr
Amsterdam, NY 12010-4620

Mailing address

1700 Riverfront Ctr
Amsterdam, NY 12010-4620
Phone (518) 843-0020

Other names 1

  • Brianna Peek Former name

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
I20170818000140 NY Practitioner - Physician Assistant 4789956210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Che Senior Psychological Services, PCGroup PAC ID 8022905314, 227 clinicians

Practice addresses (Care Compare)

447 -449 Lake Shore Dr W
Absolut Care of Dunkirk Nurs
Dunkirk, NY 14048-1479
Phone (800) 275-3243

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New York Oncology Hematology PC CurrentSince Aug 1, 2017 Accepting new patients

Locations

1700 Riverfront Ctr
Amsterdam, NY 12010
Phone (518) 483-0020

449 Route 146
#101
Halfmoon, NY 12065
Phone (518) 373-3800

69 Prospect Ave
Hudson, NY 12534
Phone (212) 459-8173

896 Riverview Rd
Rexford, NY 12148
Phone (518) 399-4600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417470998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RIVERFRONT CTR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104620",
            "telephone_number": "518-843-0020",
            "fax_number": "518-843-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RIVERFRONT CTR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104620",
            "telephone_number": "518-843-0020",
            "fax_number": "518-843-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BRIANNA",
        "middle_name": "KATE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "020964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "PEEK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.