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KANDYCE LOPEZ PA
NPI 1083479372
Physician Assistant in Venice, FL

Active since February 16, 2024PECOS Enrolled
8036 S TAMIAMI TRL, VENICE, FL 34293(941) 244-4300(941) 244-4380 Get Directions Write a Review

NPPES record last updated: November 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kandyce Lopez Pa NPPES

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

KANDYCE LOPEZ PA (NPI 1083479372) is an individual physician assistant in Venice, Florida, licensed in Florida (PA9118394) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083479372
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKANDYCE LOPEZCredential: PA
Location Address8036 S TAMIAMI TRLVenice, FL 34293-5113
Mailing Address2675 Winkler Ave Ste 200Fort Myers, FL 33901-9328 · (877) 856-3774
Phone(941) 244-4300
Fax(941) 244-4380
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 16, 2024
Last NPPES UpdateNovember 14, 2025
NPPES CertifiedNovember 14, 2025
✔ NPI 1083479372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in FL · PA9118394
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8036 S TAMIAMI TRL, Venice, FL 34293
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kandyce Lopez Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446747497
PECOS Enrollment IDI20251014003127
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34293 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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 Kandyce Lopez's NPI number?

The NPI number for Kandyce Lopez is 1083479372. It was assigned to this individual provider in the NPPES registry on February 16, 2024.

Where is Kandyce Lopez located?

Kandyce Lopez practices at 8036 S Tamiami Trl, Venice, FL 34293. The listed phone number is (941) 244-4300.

What is Kandyce Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kandyce Lopez enrolled in Medicare?

Yes. Kandyce Lopez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kandyce Lopez was last updated on November 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.