MR. EDWARD MAURICE LOPEZ RN, MSN, FNP-BC
NPI 1538479969
Nurse Practitioner - Family in Stanton, TX
NPI Status: Active since October 19, 2010
Contact Information
600 EAST INTERSTATE 20
STANTON, TX
ZIP 79782
Phone: (432) 607-3243
Fax: (432) 607-3644
- Individual
- Male
- Years of Experience 16
- Nurse Practitioner
- Family
- Accepts Insurance
- Accepts Medicare Approved Payment
- Medicare Quality Reporting
About EDWARD LOPEZ
This page provides the complete NPI Profile along with additional information for Edward Lopez, a provider established in Stanton, Texas with a medical specialization in Nurse Practitioner, focusing in family and more than 16 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2010. The healthcare provider is registered in the NPI registry with number 1538479969 assigned on October 2010. The practitioner's primary taxonomy code is 363LF0000X with license number 705690 (TX). The provider is registered as an individual and his NPI record was last updated February 2025.
- NPI
- 1538479969
- Provider Name
- MR. EDWARD MAURICE LOPEZ RN, MSN, FNP-BC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 600 EAST INTERSTATE 20 STANTON, TX 79782
- Location Phone
- (432) 607-3243
- Location Fax
- (432) 607-3644
- Mailing Address
- PO BOX 640 STANTON, TX 79782
- Mailing Phone
- (432) 607-3243
- Mailing Fax
- (432) 607-3644
- Medical School Name
- TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
- Graduation Year
- 2010
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-19-2010
- Last Update Date
- 02-05-2025
- Code Navigator
A nurse practitioner (NP) like Edward Lopez is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 705690
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 705690 | OTHER (01) | TX | BOARD OF NURSING APRN LICENSE |
Medicare Participation & PECOS Enrollment Status
Edward Lopez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 5799935458
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20121016000261
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Breast Cancer Screening | 62% | 296 |
| Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer | ||
| Diabetes: Medical Attention for Nephropathy | 87% | 165 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| Documentation of Current Medications in the Medical Record | 99% | 2651 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 90% | 6974 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Health Information Exchange | 1% | 334 |
| The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for at least one transition of care or referral. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data. | ||
| Medication Reconciliation | 14% | 28 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Preventive Care and Screening: Influenza Immunization | 55% | 672 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 54% | 1204 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 0% | 1204 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
| Use of High-Risk Medications in the Elderly | 2% "Inverse Quality Measure" This is an inverse quality measure, a lower rate means the provider is rated better. | 369 |
| Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Edward Lopez is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| MIDLAND MEMORIAL HOSPITAL | 400 ROSALIND REDFERN GROVER PARKWAY MIDLAND, TX 79701 | (432) 685-1111 | Acute Care Hospitals | |
| MARTIN COUNTY HOSPITAL DISTRICT | 600 E INTERSTATE 20 PO BOX 640 STANTON, TX 79782 | (432) 756-3345 | Critical Access Hospitals |
Reviews for MR. EDWARD MAURICE LOPEZ RN, MSN, FNP-BC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 4 | 7 | 9 | 9 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 8 | 7 | 18 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 8 + 7 + 1 + 8 + 9 + 1 + 2 + 24 = 81 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 90 - 81 = 9 | 9 | ||||||||
The NPI number 1538479969 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1942386248 | DR. MELENCIO FRANCISCO JUAN M.D. Individual | Family Medicine | 600 EAST INTERSTATE 20 SUITE D 101 STANTON, TX 79782 (432) 607-3250 |
| 1659563740 | DR. MARK ANTHONY SALCONE D.O. Individual | Surgery | 600 EAST INTERSTATE 20 STANTON, TX 79782 (432) 607-3200 |
| 1386843332 | DR. HIMA BINDU PARCHURI D.O. Individual | Family Medicine | 600 EAST INTERSTATE 20 STANTON, TX 79782 (432) 607-3200 |
| 1245583103 | MRS. MEGAN SHERREE CHANDLER RN FNP-C Individual | Nurse Practitioner (Family) | 600 EAST INTERSTATE 20 STANTON, TX 79782 (432) 607-3200 |
| 1609341007 | LATISHA MARIE WARD Individual | Nurse Practitioner (Family) | 600 EAST INTERSTATE 20 STANTON, TX 79782 (432) 607-3200 |
| 1619157427 | DR. ELISA K BRANTLY MD Individual | Urology | 600 EAST INTERSTATE 20 STANTON, TX 79782 (432) 607-3644 |
| 1477390227 | MARTIN COUNTY HOSPITAL DISTRICT Organization | Registered Nurse (Pain Management) | 600 EAST INTERSTATE 20 STANTON, TX 79782 (432) 607-3243 |
| 1659995645 | LARK MICHELLE OLIVAS FNP-C Individual | Nurse Practitioner (Family) | 600 EAST INTERSTATE 20 STANTON, TX 79782 (432) 607-3200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538479969, enumerated in the NPI registry as an "individual" on October 19, 2010
The provider is located at 600 East Interstate 20 Stanton, Tx 79782 and the phone number is (432) 607-3243
The provider's speciality is Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider has more than 16 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2010.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The practitioner is affiliated to the following hospital(s): MIDLAND MEMORIAL HOSPITAL and MARTIN COUNTY HOSPITAL DISTRICT. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on October 19, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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