Active NPI
Fredy Lopez, CRNA
- Certified Registered Nurse Anesthetist
- New Bern, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 121747
- Practice address
- 2000 Neuse Blvd
New Bern, NC 28560-3449 - Phone
- (252) 633-8111
- NPI assigned
- Jun 9, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Richmond, VA
- NPI 1982329900
Anesthesiology, VA
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Anesthesiology, NC
-
- Ambulatory Surgical Clinic/Center
- New Bern, NC
- NPI 1407157142
-
- Obstetrics & Gynecology Physician
- New Bern, NC
- NPI 1619868981
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1598708513
Hospital
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1013091727
Hospital
-
- General Acute Care Hospital
- Richmond, VA
- NPI 1437175734
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- East Carolina University School of Dentistry, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- MCV Associated PhysiciansDogwood Anesthesia Providers LLC
Practice addresses (Care Compare)
1200 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-9000
1250 E Marshall St
Richmond, VA 23298-5051
1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 520-8272
401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737
Hospital & facility affiliations
- CJW Medical Center
- Medical College of Virginia Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, VA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181005002734 | NC | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8729330568 | Reassigns benefits to 2 organizations |
| I20220804000335 | VA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8729330568 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121747 | NC | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Carolinaeast Physicians | Current | Accepting new patients | |
| Carolinaeast Physicians | Current | Accepting new patients | |
| Dogwood Anesthesia Providers, LLC | Anesthesiology | Current | Accepting new patients |
| Carolinaeast Physicians | Current | Accepting new patients | |
| MCV Associated Physicians | Anesthesiology | Current | Accepting new patients |
Locations
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088
2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 121747 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2000 Neuse Blvd
New Bern, NC 28560-3449
Mailing address
123 Parker CT
Newport, NC 28570-3719
Phone (252) 622-1226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2022.
{
"created_epoch": "1528502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1780177220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 PARKER CT",
"city": "NEWPORT",
"state": "NC",
"postal_code": "285703719",
"telephone_number": "252-622-1226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 NEUSE BLVD",
"city": "NEW BERN",
"state": "NC",
"postal_code": "285603449",
"telephone_number": "252-633-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ",
"first_name": "FREDY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-09",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "121747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Bern, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.