JUANITA C LOPEZ (PA) – Physician Assistant, NPI 1194855817

JUANITA C LOPEZ (PA) is a healthcare provider. based in Odessa, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA03700 (TX). The NPI Number for JUANITA C LOPEZ (PA) is 1194855817

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
JUANITA C LOPEZ (PA)
NPI
1194855817
Phone
(432) 337-3117
Address
720 GOLDER AVE
Enumeration Date
6 March 2007
Last Update Date
2 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4326402408
Graduation Year
2003 (23 years ago)
PAC ID
5698766509
Group Practice PAC ID
1658358635
Professional Enrollment ID
I20040520000092
Address ID
TX797615001OD500XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for JUANITA C LOPEZ (PA)

  • 720 GOLDER AVE

    ODESSA, TX 797614442

    Phone: (432) 337-3117

    Fax: (432) 337-3448

    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)

CMS reports 20 Open Payments records for all available years, with a total value of $508.

Total Amount is formed as General ($508) + Research ($0) + Ownership ($0) = $508.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Abbott Laboratories ($125).

Total Amount

$508

General + Research + Ownership

Payments

20

Total payment records

General Amount

$508

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

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: 2004-05-20

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
I20040520000092IPhysician AssistantTXTBD

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
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician1313$0
View full utilization report →

Insurance plans in this area (ZIP 79761)

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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: 1658358635View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)TX
Family PracticeTX
Orthopedic SurgeryTX
Internal MedicineTX
Family Practice, Undersea And Hyperbaric MedicineTX
-TX
Orthopedic SurgeryLA
Nurse PractitionerTX
Nurse PractitionerTX
Physical Medicine And Rehabilitation, Pain ManagementTX

Reviews

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Frequently asked questions

How do payers reference JUANITA C LOPEZ (PA)?
For JUANITA C LOPEZ (PA), use NPI 1194855817 as the unique 10-digit identifier.
Is JUANITA C LOPEZ (PA) still an active registrant?
JUANITA C LOPEZ (PA) carries an active NPI according to the public dataset.
What clinical focus is listed for JUANITA C LOPEZ (PA)?
At a glance, JUANITA C LOPEZ (PA) is tied to Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with JUANITA C LOPEZ (PA)?
Directory geography for JUANITA C LOPEZ (PA) centers on Odessa, Texas.
Does JUANITA C LOPEZ (PA) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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