RUTH LOPEZ (APRN) – Adult Health Nurse Practitioner, NPI 1053401653
Adult Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
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Provider Addresses for RUTH LOPEZ (APRN)
80, Phoenix Avenue, Exchange Place, Waterbury, New Haven County, Connecticut, 06702, United States
STE 201
WATERBURY, CT 067021418
Phone: (203) 756-8021
Fax: (203) 596-9038
Type: Mailing
Hartford Hospital, 80, Seymour Street, Frog Hollow Historic District, Hartford, Hartford County, Connecticut, 06102, United States
HARTFORD HOSPITAL ADULT PRIMARY CARE
HARTFORD, CT 06102
Phone: (860) 545-0200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2024-10-08 • Largest payer in this snapshot: Lilly USA, LLC ($29).
Total Amount
$95
General + Research + Ownership
Payments
4
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $29 |
| Exact Sciences Corporation | $25 |
| Alkermes, Inc. | $23 |
| PFIZER INC. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-03-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170302001073 | I | Nurse Practitioner | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | CT | |
| P O D I A T R Y | KS | |
| Certified Nurse Midwife (Cnm) | CT | |
| - | CT | |
| P S Y C H I A T R Y | CT | |
| - | CO | |
| Nurse Practitioner | CT | |
| Clinical Social Worker | CT | |
| Registered Dietitian Or Nutrition Professional | CT | |
| Geriatric Medicine | MA |
Reviews
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