MRS. MARY BETH LOPEZ (APRN) – Family Nurse Practitioner, NPI 1396184255

MRS. MARY BETH LOPEZ (APRN) is a healthcare provider. based in Gray, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3008095 (KY). The NPI Number for MRS. MARY BETH LOPEZ (APRN) is 1396184255

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY BETH LOPEZ (APRN)
NPI
1396184255
Phone
(606) 258-8050
Address
10755 N US HIGHWAY 25E
Enumeration Date
24 June 2013
Last Update Date
17 January 2019

Doctor Profile

Medical School Name
LINCOLN MEMORIAL UNIVERSITY MEDICAL DEPARTMENT
Secondary Phone
6066543338
Graduation Year
2013 (13 years ago)
PAC ID
1658689013
Group Practice PAC ID
3870654064
Professional Enrollment ID
I20151005000736
Address ID
KY409771724PI313XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for MRS. MARY BETH LOPEZ (APRN)

  • 10755 N US HIGHWAY 25E

    GRAY, KY 407346529

    Phone: (606) 258-8050

    Fax: (606) 258-8994

    Type: Mailing

  • 39 CUMBERLAND GAP PLZ

    GRAY, KY 407344536

    Phone: (606) 526-9005

    Fax: (606) 526-8607

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $599.

Total Amount is formed as General ($599) + Research ($0) + Ownership ($0) = $599.

Last reported payment date: 2024-10-18 • Largest payer in this snapshot: ABBVIE INC. ($219).

Total Amount

$599

General + Research + Ownership

Payments

28

Total payment records

General Amount

$599

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-18

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: 2015-10-05

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
I20151005000736INurse PractitionerKYTBD

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
83036Hemoglobin a1c level7038$0
81003Automated urinalysis test2819$0
82044Urine microalbumin (protein) analysis1515$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1412$0
View full utilization report →

Insurance plans in this area (ZIP 40734)

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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: 3870654064View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YVA
Nurse PractitionerKY
Family PracticeKY
Nurse PractitionerKY
-KY
Physician AssistantKY
Nurse PractitionerKY
-KY
-KY
Nurse PractitionerTN

Reviews

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Frequently asked questions

What unique ID ties claims to MRS. MARY BETH LOPEZ (APRN)?
NPI 1396184255 is assigned to MRS. MARY BETH LOPEZ (APRN) under the national enumeration system.
Is MRS. MARY BETH LOPEZ (APRN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. MARY BETH LOPEZ (APRN) list a primary specialty?
If you are matching referrals, note Family Nurse Practitioner for MRS. MARY BETH LOPEZ (APRN). Clinical services aligned with this taxonomy classification.
Does MRS. MARY BETH LOPEZ (APRN) practice in Kentucky?
You will see Gray, Kentucky on file for MRS. MARY BETH LOPEZ (APRN) alongside any extra practice locations.
What if Gray, Kentucky seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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