MRS. AUDREY LEE LOPES (AGACNP-BC) – Nurse Practitioner, NPI 1629426689

MRS. AUDREY LEE LOPES (AGACNP-BC) is a healthcare provider. based in North dartmouth, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials AGACNP-BC. They hold a License No. RN283240 (MA). The NPI Number for MRS. AUDREY LEE LOPES (AGACNP-BC) is 1629426689

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AUDREY LEE LOPES (AGACNP-BC)
NPI
1629426689
Phone
(508) 973-7774
Address
300A FAUNCE CORNER RD STE 2A
Enumeration Date
1 June 2016
Last Update Date
12 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089735919
Graduation Year
2016 (10 years ago)
PAC ID
1557640703
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20161111000599
Address ID
MA027203703FA363XXAVEX300

Contacts

Secure Messaging
amelo17071@direct.southcoast.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:10State licenses:1Other namesUpdated within 12 months

8,971 NURSE PRACTITIONER in MA

Provider Addresses for MRS. AUDREY LEE LOPES (AGACNP-BC)

  • 300A FAUNCE CORNER RD STE 2A

    NORTH DARTMOUTH, MA 027471280

    Phone: (508) 973-7774

    Fax: (508) 973-7724

    Type: Location

  • 180, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    FAIRHAVEN, MA 027195255

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $301.

Total Amount is formed as General ($301) + Research ($0) + Ownership ($0) = $301.

Last reported payment date: 2024-06-19 • Largest payer in this snapshot: Medical Device Business Services, Inc. ($137).

Total Amount

$301

General + Research + Ownership

Payments

3

Total payment records

General Amount

$301

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-11-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161111000599INurse PractitionerMATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 02747)

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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: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Clinical Social WorkerMA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What NPI should I save for MRS. AUDREY LEE LOPES (AGACNP-BC)?
Save NPI 1629426689 if you need a stable reference for MRS. AUDREY LEE LOPES (AGACNP-BC).
Is MRS. AUDREY LEE LOPES (AGACNP-BC) currently active in the NPI registry?
CMS-published data lists MRS. AUDREY LEE LOPES (AGACNP-BC) as an active registrant.
What kind of provider is MRS. AUDREY LEE LOPES (AGACNP-BC)?
The page reflects Nurse Practitioner for MRS. AUDREY LEE LOPES (AGACNP-BC). Clinical services aligned with this taxonomy classification.
Does MRS. AUDREY LEE LOPES (AGACNP-BC) practice in Massachusetts?
You will see North Dartmouth, Massachusetts on file for MRS. AUDREY LEE LOPES (AGACNP-BC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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