Active NPI
Elizabeth Lopez, APRN
- Family Nurse Practitioner
- Sandy, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 202215291NP-PP
- Practice address
- 17055 Ruben LN
Sandy, OR 97055-9276 - Phone
- (503) 668-8002
- Fax
- (503) 668-5246
- NPI assigned
- Nov 29, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 202001463 | OR | |
| Family Nurse Practitioner | 363LF0000X | 61354201 | WA | |
| Family Nurse Practitioner | 363LF0000X | 202215291NP-PP | OR | Primary |
| Emergency Registered Nurse | 163WE0003X | 60547062 | WA |
Addresses
Primary practice location
17055 Ruben LN
Sandy, OR 97055-9276
Mailing address
1400 SW 5TH Ave Ste 500
Portland, OR 97201-5537
Other practice location 1
1350 NE 122nd Ave Ste 200
Portland, OR 97230-2011
Phone (503) 408-7008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231012003930 | OR | Practitioner - Nurse Practitioner | 7416302344 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Portland Adventist Medical Center
Practice addresses (Care Compare)
17055 Ruben LN
Sandy, OR 97055-9276
Phone (503) 668-8002
Hospital & facility affiliations
- Adventist Health Portland
Merit-based Incentive Payment System (MIPS)
- Final score
- 92 of 100
- Quality
- 84.7
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 79.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202001463 | OR | MD | Emergency Registered Nurse |
| 60547062 | WA | MD | Emergency Registered Nurse |
| 202215291NP-PP | OR | MD | Family Nurse Practitioner |
| 61354201 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Adventist Medical Center | Current | Accepting new patients | |
| Portland Adventist Medical Center | Current | Accepting new patients |
Locations
10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880
1350 NE 122nd Ave
Ste 200
Portland, OR 97230
Phone (503) 408-7008
17055 Ruben Ln
Sandy, OR 97055
Phone (503) 668-8002
Interoperability endpoints
- elopez165548@direct.ohsu.edu
Organizations & group practices 2
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
- Portland, OR
- NPI 1437925310
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": "1669680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775433600000",
"number": "1942910146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 SW 5TH AVE STE 500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972015537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17055 RUBEN LN",
"city": "SANDY",
"state": "OR",
"postal_code": "970559276",
"telephone_number": "503-668-8002",
"fax_number": "503-668-5246"
}
],
"practiceLocations": [
{
"address_1": "1350 NE 122nd Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972302011",
"country_code": "US",
"telephone_number": "503-408-7008",
"fax_number": "503-408-7045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOPEZ",
"first_name": "ELIZABETH",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-29",
"last_updated": "2026-04-06",
"certification_date": "2026-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "OR",
"license": "202001463",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "61354201",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "202215291NP-PP",
"primary": true
},
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "WA",
"license": "60547062",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandy, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.