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JEANETTE LOPEZ
NPI 1093671489
Physician Assistant in Mansfield, TX

Active since December 29, 2025PECOS Enrolled
1759 BROAD PARK CIR S STE 201, MANSFIELD, TX 76063(682) 341-3910 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 1, 2026, Dec 29, 2025 (2 updates tracked since 2025).

About Jeanette Lopez NPPES

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

JEANETTE LOPEZ (NPI 1093671489) is an individual physician assistant in Mansfield, Texas, licensed in Texas (PA20199) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093671489
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJEANETTE LOPEZ
Location Address1759 BROAD PARK CIR S STE 201Mansfield, TX 76063-7834
Mailing Address1759 Broad Park Cir S Ste 201Mansfield, TX 76063-7834 · (682) 341-3910
Phone(682) 341-3910
Sole ProprietorNo
Enumeration DateDecember 29, 2025
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1093671489 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 TX · PA20199
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.
1759 BROAD PARK CIR S STE 201, Mansfield, TX 76063
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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)

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

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 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAMY MAHMOUD MOHAMED SABE MBBCH
Pediatrics (Pediatric Gastroenterology)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
KATHERINE SUMMERLIN FNP-C
Nurse Practitioner
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
KATHRYNE LAURALEE RIVERO RN, ARPN, CPNP-PC
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
DAVY KRANG
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
MR. JACOB ROSS KNOX
Physician Assistant
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
ANJAE TARAY HOLDER
Nurse Practitioner (Pediatrics)
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
HARSHITA KUMAR
Pediatrics
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910
SOPHIA GABRIELA BEACHUM MD
Pediatrics
1759 BROAD PARK CIR S STE 201
MANSFIELD, TX 76063
Tarrant County (682) 341-3910

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 Jeanette Lopez's NPI number?

The NPI number for Jeanette Lopez is 1093671489. It was assigned to this individual provider in the NPPES registry on December 29, 2025.

Where is Jeanette Lopez located?

Jeanette Lopez practices at 1759 Broad Park Cir S Ste 201, Mansfield, TX 76063. The listed phone number is (682) 341-3910.

What is Jeanette Lopez's specialty?

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

Is Jeanette Lopez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jeanette Lopez was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.