Individual provider Active NPI

Fredy Lopez, CRNA

  • Certified Registered Nurse Anesthetist
  • New Bern, NC
National Provider Identifier
1780177220
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
121747 Issued in NC
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.

Hospital & facility affiliations 3

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

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 Physicians 1,779 clinicians
Dogwood Anesthesia Providers LLC 141 clinicians

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 Hospital, Richmond, VA, CCN 490112
  • Medical College of Virginia Hospitals Hospital, Richmond, VA, CCN 490032

Merit-based Incentive Payment System (MIPS)

Final score
83.95 of 100Reported as group
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, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
121747NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Anesthesia Associates, PLLC Anesthesiology CurrentSince Jun 13, 2022 Accepting new patients
Carolinaeast Physicians CurrentSince Mar 1, 2019 Accepting new patients
Carolinaeast Physicians CurrentSince Mar 1, 2019 Accepting new patients
Dogwood Anesthesia Providers, LLC Anesthesiology CurrentSince Dec 1, 2022 Accepting new patients
Carolinaeast Physicians Current Accepting new patients
MCV Associated Physicians Anesthesiology CurrentSince May 24, 2024 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)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 121747 NC Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.