JORGE LOPEZ (FNP) – Family Nurse Practitioner, NPI 1336633320

JORGE LOPEZ (FNP) is a healthcare provider. based in Hialeah, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. RN9260338 (FL). The NPI Number for JORGE LOPEZ (FNP) is 1336633320

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JORGE LOPEZ (FNP)
NPI
1336633320
Phone
(786) 624-1165
Address
9122 NW 171ST LN
Enumeration Date
21 June 2018
Last Update Date
21 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2018 (8 years ago)
PAC ID
2466790886
Group Practice PAC ID
7012210644
Professional Enrollment ID
I20190211001351
Address ID
FL331251684MI1545XRDXX501
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Provider Addresses for JORGE LOPEZ (FNP)

  • 9122 NW 171ST LN

    HIALEAH, FL 330186645

    Phone: (786) 624-1165

    Mailing address matches the actual address.

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: 2019-02-11

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
I20190211001351INurse PractitionerFLTBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes1,309258$0
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month1,014241$0
99214Established patient office or other outpatient visit, 30-39 minutes473182$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and441137$0
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow333115$0
View full utilization report →

Insurance plans in this area (ZIP 33018)

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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: 7012210644View full group profile
NameSpecialtyState
General Practice, Critical Care (Intensivists), Family Practice, Geriatric Medicine, Hospice/Palliative CareFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Where can patients find JORGE LOPEZ (FNP)'s NPI?
You can confirm JORGE LOPEZ (FNP) with NPI 1336633320; it appears in the national provider directory.
Is JORGE LOPEZ (FNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does JORGE LOPEZ (FNP) work in?
You can think of JORGE LOPEZ (FNP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JORGE LOPEZ (FNP) practice in Florida?
You will see Hialeah, Florida on file for JORGE LOPEZ (FNP) alongside any extra practice locations.
Is JORGE LOPEZ (FNP) a real provider?
This page reflects official NPPES data for NPI 1336633320. Always confirm identity and privileges with the practice and licensing boards.

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