MARINA LOPEZ – Nurse Practitioner, NPI 1629893557

MARINA LOPEZ is a healthcare provider. based in Elko, Nevada. specializing in NURSE PRACTITIONER. They hold a License No. 810285 (NV). The NPI Number for MARINA LOPEZ is 1629893557

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MARINA LOPEZ
NPI
1629893557
Phone
Not provided
Address
2620 RUBY VISTA DR
Enumeration Date
15 November 2024
Last Update Date
17 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3854545027
Graduation Year
2024 (2 years ago)
PAC ID
0547790206
Group Practice PAC ID
2062943038
Professional Enrollment ID
I20250926001881
Address ID
NV894346735SP1950XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

2,947 NURSE PRACTITIONER in NV

Provider Addresses for MARINA LOPEZ

  • 2620 RUBY VISTA DR

    ELKO, NV 898011638

    Phone:

    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: 2025-09-26

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
I20250926001881INurse PractitionerNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89801)

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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: 2062943038View full group profile
NameSpecialtyState
Internal MedicinePA
Internal Medicine, Family PracticeNV
Geriatric MedicineNV
Nurse PractitionerNV
Nurse PractitionerNV
Nurse PractitionerNV

Reviews

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Frequently asked questions

Can I cross-check MARINA LOPEZ using NPI 1629893557?
NPI 1629893557 belongs to MARINA LOPEZ; compare other details if you need extra assurance.
Is there an active status for MARINA LOPEZ?
For scheduling context, MARINA LOPEZ is shown as active in the registry.
What expertise is attributed to MARINA LOPEZ?
MARINA LOPEZ's specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MARINA LOPEZ located near Elko?
MARINA LOPEZ currently maps to Elko, Nevada in this extract.
Does MARINA LOPEZ accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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