JESSICA LOPEZ – Family Nurse Practitioner, NPI 1770212235

JESSICA LOPEZ is a healthcare provider. based in Sunrise, Florida. specializing in NURSE PRACTITIONER. They hold a License No. APRN11018931 (FL). The NPI Number for JESSICA LOPEZ is 1770212235

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LOPEZ
NPI
1770212235
Phone
Not provided
Address
3213 NW 104TH AVE
Enumeration Date
8 June 2022
Last Update Date
8 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9547203188
Graduation Year
2021 (5 years ago)
PAC ID
9133596596
Group Practice PAC ID
6608780937
Professional Enrollment ID
I20221028000026
Address ID
FL333212902TA7171XDRXX407
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JESSICA LOPEZ

  • 3213 NW 104TH AVE

    SUNRISE, FL 333516827

    Phone:

    Type: Mailing

  • 7171 N UNIVERSITY DR STE 300

    TAMARAC, FL 333212902

    Phone: (954) 720-3188

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 99 Open Payments records for all available years, with a total value of $3,734.

Total Amount is formed as General ($3,734) + Research ($0) + Ownership ($0) = $3,734.

Last reported payment date: 2024-12-30 • Largest payer in this snapshot: BIOTRONIK NRO, Inc. ($2,714).

Total Amount

$3,734

General + Research + Ownership

Payments

99

Total payment records

General Amount

$3,734

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-30

Latest reported date

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: 2022-10-28

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
I20221028000026INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes8656$0
99213Established patient office or other outpatient visit, 20-29 minutes8455$0
80305Testing for presence of drug, read by direct observation4029$0
G0480Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms4029$0
80307Testing for presence of drug, by chemistry analyzers1111$0
View full utilization report →

Insurance plans in this area (ZIP 33351)

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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: 6608780937View full group profile
NameSpecialtyState
Physician AssistantFL
-FL
Physician AssistantFL
Pain Management, Osteopathic Manipulative MedicineAZ
Pain Management, AnesthesiologyFL
-FL
Physician AssistantFL
Physician AssistantFL
Diagnostic RadiologyFL

Reviews

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Frequently asked questions

What number should I use to identify JESSICA LOPEZ for billing?
Administrative and clinical systems typically use NPI 1770212235 for JESSICA LOPEZ.
Does the public listing show JESSICA LOPEZ as active?
JESSICA LOPEZ's NPI record reflects an active status in NPPES.
How should patients interpret JESSICA LOPEZ's specialty?
The extract shows Family Nurse Practitioner for JESSICA LOPEZ. Clinical services aligned with this taxonomy classification.
Which community is linked to JESSICA LOPEZ?
JESSICA LOPEZ shows a connection to Sunrise, Florida in registry-derived data.
Why is information missing for JESSICA LOPEZ?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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