KELLY P LOPEZ (NP-C) – Nurse Practitioner, NPI 1679118301

KELLY P LOPEZ (NP-C) is a healthcare provider. based in Aurora, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 209.020409 (IL). The NPI Number for KELLY P LOPEZ (NP-C) is 1679118301

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KELLY P LOPEZ (NP-C)
NPI
1679118301
Phone
(630) 661-9932
Address
834 W DOWNER PL
Enumeration Date
18 November 2019
Last Update Date
29 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3126950870
Graduation Year
2019 (7 years ago)
PAC ID
4385079110
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20200124000060
Address ID
IL612656175MO515XXDRXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:6State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KELLY P LOPEZ (NP-C)

  • 834 W DOWNER PL

    AURORA, IL 605064904

    Phone: (630) 661-9932

    Type: Mailing

  • 1 KISH HOSPITAL DR

    DEKALB, IL 601159602

    Phone: (815) 756-1521

    Type: Location

  • 725 SCHOOL ST STE A

    MORRIS, IL 604501207

    Phone: (815) 941-9124

    Fax: (815) 941-4363

    Type: Mailing

  • 105 SARAVANOS RD

    YORKVILLE, IL 605605813

    Phone: (630) 553-4600

    Fax: (630) 553-7486

    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: 2020-01-24

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
I20200124000060INurse PractitionerILTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes4848$0
99214Established patient office or other outpatient visit, 30-39 minutes3837$0
99284Emergency department visit with moderate level of medical decision making3130$0
View full utilization report →

Insurance plans in this area (ZIP 60506)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

What number should I use to identify KELLY P LOPEZ (NP-C) for billing?
Administrative and clinical systems typically use NPI 1679118301 for KELLY P LOPEZ (NP-C).
Is KELLY P LOPEZ (NP-C)'s NPI status active today?
Active status means KELLY P LOPEZ (NP-C)'s NPI record is not deactivated in the public file.
What does the directory say KELLY P LOPEZ (NP-C) does?
Insurance directories may phrase it differently, but here KELLY P LOPEZ (NP-C) maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit KELLY P LOPEZ (NP-C) in Aurora, Illinois?
For routing, start with Aurora, Illinois for KELLY P LOPEZ (NP-C), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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