Ethan Blackney-Lopez, AG-ACNP
NPI 1619697570ActiveIndividual· Nurse Practitioner, Acute Care· Albuquerque, NM
Nurse Practitioner, Acute Care (AG-ACNP) in Albuquerque, New Mexico, trained at University of New Mexico School of Medicine (class of 2022). In 2024 Medicare paid $13,334 for 64 patients, and Part D covered 136 of their prescriptions, 88% of them generic.
Overview
| NPI | 1619697570 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AG-ACNP |
| Sole proprietor | No |
| NPI issued | Aug 31, 2022 |
| Last updated in NPPES | May 26, 2023 |
| Certified by provider | May 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Acute Care Primary | 363LA2100X | 69604 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (NM) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 64 |
|---|---|
| Services billed | 261 across 7 procedure codes |
| Paid by Medicare | $13,334 |
Part D prescriptions in 2024
| Prescriptions (claims) | 136 · 138 30-day fills |
|---|---|
| Patients | 47 |
| Total drug cost | $5,939 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of New Mexico School of Medicine |
|---|---|
| Graduation year | 2022 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Unm HospitalAlbuquerque, NM · 395 clinicians
Hospital affiliation
- Unm HospitalAlbuquerque, NM
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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