GUERRERO IVAN LOPEZ – Physician Assistant, NPI 1831713429

GUERRERO IVAN LOPEZ is a healthcare provider. based in Smith center, Kansas. specializing in PHYSICIAN ASSISTANT. They hold a License No. 15-02397 (KS). The NPI Number for GUERRERO IVAN LOPEZ is 1831713429

Main info

Male
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
GUERRERO IVAN LOPEZ
NPI
1831713429
Phone
(785) 262-6834
Address
PO BOX 349
Enumeration Date
30 May 2020
Last Update Date
17 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6206532114
Graduation Year
2020 (6 years ago)
PAC ID
1456765726
Group Practice PAC ID
6709798622
Professional Enrollment ID
I20210127002196
Address ID
KS675441706HO250XXSTXX400

Contacts

Secure Messaging
guerrero.lopez.1@14930.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

1,303 PHYSICIAN ASSISTANT in KS

Provider Addresses for GUERRERO IVAN LOPEZ

  • PO BOX 349

    SMITH CENTER, KS 669670349

    Phone: (785) 262-6834

    Fax: (785) 282-6331

    Type: Mailing

  • 921 E HIGHWAY 36

    SMITH CENTER, KS 669679582

    Phone: (785) 282-6834

    Fax: (785) 282-6331

    Type: Location

  • PO BOX 421

    MACKSVILLE, KS 675570421

    Phone: (620) 639-0777

    Type: Mailing

  • 206 N HIGGINS AVE

    MACKSVILLE, KS 675575761

    Phone: (620) 639-0777

    Type: Location

  • 200 COMMODORE ST

    PRATT, KS 671242903

    Phone: (620) 672-7451

    Type: Mailing

  • 420 COUNTRY CLUB RD

    PRATT, KS 671243125

    Phone: (620) 672-7415

    Fax: (620) 672-5223

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-03-22 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-22

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2021-01-27

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
I20210127002196IPhysician AssistantKSTBD

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
99285Emergency department visit with high level of medical decision making1313$0
View full utilization report →

Insurance plans in this area (ZIP 66967)

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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: 6709798622View full group profile
NameSpecialtyState
General SurgeryKS
Physician AssistantKS
Internal MedicineKS
Certified Registered Nurse Anesthetist (Crna)KS
Physician AssistantKS
General SurgeryKS
Physician AssistantKS
Rheumatology, Internal MedicineMO
Nurse PractitionerKS
General SurgeryKS

Reviews

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Frequently asked questions

Is there an official ID for GUERRERO IVAN LOPEZ in U.S. healthcare records?
The official identifier for GUERRERO IVAN LOPEZ is NPI 1831713429.
Is there an active status for GUERRERO IVAN LOPEZ?
For scheduling context, GUERRERO IVAN LOPEZ is shown as active in the registry.
What clinical focus is listed for GUERRERO IVAN LOPEZ?
At a glance, GUERRERO IVAN LOPEZ is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with GUERRERO IVAN LOPEZ?
Directory geography for GUERRERO IVAN LOPEZ centers on Smith Center, Kansas.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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