KATIE LUZ LOPEZ – Certified Registered Nurse Anesthetist, NPI 1780383398

KATIE LUZ LOPEZ is a healthcare provider. based in Hallandale beach, Florida. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 9437377 (FL). The NPI Number for KATIE LUZ LOPEZ is 1780383398

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
KATIE LUZ LOPEZ
NPI
1780383398
Phone
(786) 543-6555
Address
330 SW 2ND AVE APT 10
Enumeration Date
2 March 2023
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3256702000
Graduation Year
2025 (1 year ago)
PAC ID
5597279588
Group Practice PAC ID
3274521281
Professional Enrollment ID
I20250710001915
Address ID
TX796012432AB1900XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness85
Years active:3State licenses:2Digital endpointsOther names

5,360 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in FL

Provider Addresses for KATIE LUZ LOPEZ

  • 330 SW 2ND AVE APT 10

    HALLANDALE BEACH, FL 330096341

    Phone: (786) 543-6555

    Type: Mailing

  • 11300 NE 2ND AVE

    MIAMI SHORES, FL 331616628

    Phone: (305) 899-3000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-12-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250710001915ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20251222000452ICertified Registered Nurse Anesthetist (Crna)IDTBD

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.

Verify on CMS Revalidation Lookup Tool

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 33009)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274521281View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)VA
A N E S T H E S I O L O G YVA
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YWI
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What unique ID ties claims to KATIE LUZ LOPEZ?
NPI 1780383398 is assigned to KATIE LUZ LOPEZ under the national enumeration system.
Is KATIE LUZ LOPEZ's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KATIE LUZ LOPEZ's specialty in plain language?
Clinically, the directory lists KATIE LUZ LOPEZ with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is KATIE LUZ LOPEZ's primary listing?
We display Hallandale Beach, Florida because that is what the record indicates for KATIE LUZ LOPEZ.
Is KATIE LUZ LOPEZ a real provider?
This page reflects official NPPES data for NPI 1780383398. Always confirm identity and privileges with the practice and licensing boards.

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