MICHAEL LOPEZ (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124432976

MICHAEL LOPEZ (CRNA) is a healthcare provider. based in Knoxville, Tennessee. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 201403004CRNA (OR). The NPI Number for MICHAEL LOPEZ (CRNA) is 1124432976

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL LOPEZ (CRNA)
NPI
1124432976
Phone
(865) 985-7053
Address
1431 CENTERPOINT BLVD
Enumeration Date
19 June 2014
Last Update Date
19 June 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5035371555
Graduation Year
2014 (12 years ago)
PAC ID
4789802356
Group Practice PAC ID
2961857123
Professional Enrollment ID
I20140822000908
Address ID
OR971327485NE1001XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR

Provider Addresses for MICHAEL LOPEZ (CRNA)

  • 1431 CENTERPOINT BLVD

    SUITE 100

    KNOXVILLE, TN 379321984

    Phone: (865) 985-7053

    Fax: (865) 291-3634

    Type: Mailing

  • 1015 NW 22ND AVE

    PORTLAND, OR 972103025

    Phone: (503) 413-7711

    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: 2014-08-22

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
I20140822000908ICertified Registered Nurse Anesthetist (Crna)ORTBD

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
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 37932)

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Provider's Procedures

MICHAEL LOPEZ (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOR00142Anesthesia for lens surgery5756

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: 2961857123View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)AP
Certified Registered Nurse Anesthetist (Crna)MN
Certified Registered Nurse Anesthetist (Crna)NV
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)OR
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What unique ID ties claims to MICHAEL LOPEZ (CRNA)?
NPI 1124432976 is assigned to MICHAEL LOPEZ (CRNA) under the national enumeration system.
Does this profile mean MICHAEL LOPEZ (CRNA) is currently active?
Yes — MICHAEL LOPEZ (CRNA) appears active in the national provider directory.
What kind of provider is MICHAEL LOPEZ (CRNA)?
The page reflects Certified Registered Nurse Anesthetist for MICHAEL LOPEZ (CRNA). Clinical services aligned with this taxonomy classification.
What location shows for MICHAEL LOPEZ (CRNA)?
We surface Knoxville, Tennessee for MICHAEL LOPEZ (CRNA) based on available NPPES addresses.
How can I contact MICHAEL LOPEZ (CRNA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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