JESSICA M LOPEZ FONTANEZ
NPI 1073286498
Nurse Practitioner - Family in Sarasota, FL

Q: What is Jessica Lopez Fontanez's NPI number?

The NPI number for Jessica Lopez Fontanez is 1073286498. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Q: What is Jessica Lopez Fontanez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since July 30, 2021PECOS Enrolled

5605 MAUNA LOA BLVD UNIT 113, SARASOTA, FL 34240(813) 534-8196 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jessica M Lopez Fontanez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA M LOPEZ FONTANEZ (NPI 1073286498) is an individual family provider in Sarasota, Florida, licensed in Florida (11013145) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1073286498

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA M LOPEZ FONTANEZ

Location Address5605 MAUNA LOA BLVD UNIT 113Sarasota, FL 34240-8942

Mailing Address5605 Mauna Loa Blvd Unit 113Sarasota, FL 34240-8942 · (813) 534-8196

Phone(813) 534-8196

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 30, 2021

NPPES CertifiedJuly 30, 2021

✔ NPI 1073286498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · 11013145

5605 MAUNA LOA BLVD UNIT 113, Sarasota, FL 34240

Open in Google Maps ↗

Other Identifiers 1

Medicaid11013145FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica M Lopez Fontanez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294127668

PECOS Enrollment IDI20220114000609

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jessica Lopez Fontanez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Restore Medical Partners, PLLC

14 mi

Pain Medicine

333 S TAMIAMI TRL, SUITE 169/171
Venice, FL 34285

Reassigned Medicare billing, Florida enrollment
20 clinicians in this Medicare group

NPI 1891148250 (941) 375-3006

Vigafra PLLC

14 mi

Interventional Pain Medicine

2105 MANATEE AVENUE EAST
Bradenton, FL 34208

Reassigned Medicare billing, Florida enrollment
10 clinicians in this Medicare group

NPI 1316154958 (941) 803-8395

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

39 services38 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

21 services18 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

16 services16 patients

Injection of chemical agent into multiple incompetent veins of leg 36471

This procedure involves injecting a special chemical into problematic veins in the leg. The chemical helps to close off these veins, rerouting blood through healthier veins. This can alleviate discomfort and improve the appearance of the treated area.

15 services13 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34240 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Lopez Fontanez's NPI number?

The NPI number for Jessica Lopez Fontanez is 1073286498. It was assigned to this individual provider in the NPPES registry on July 30, 2021.

Where is Jessica Lopez Fontanez located?

Jessica Lopez Fontanez practices at 5605 Mauna Loa Blvd Unit 113, Sarasota, FL 34240. The listed phone number is (813) 534-8196.

What is Jessica Lopez Fontanez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jessica Lopez Fontanez enrolled in Medicare?

Yes. Jessica Lopez Fontanez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jessica Lopez Fontanez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Lopez Fontanez reassigns Medicare benefits to 2 organizations: Restore Medical Partners, PLLC (Venice, FL) and Vigafra PLLC (Bradenton, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Lopez Fontanez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Lopez Fontanez accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Jessica Lopez Fontanez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jessica Lopez Fontanez affiliated with any hospitals?

According to CMS data, Jessica Lopez Fontanez is affiliated with Sarasota Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Lopez Fontanez was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.