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IBONNE LOPEZ MASO
NPI 1104697887
Nurse Practitioner - Family in Fort Worth, TX

Active since January 11, 2024PECOS Enrolled
1701 NW 25TH ST, FORT WORTH, TX 76164(682) 707-5982(682) 707-5984 Get Directions Write a Review

NPPES record last updated: January 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ibonne Lopez Maso NPPES

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

IBONNE LOPEZ MASO (NPI 1104697887) is an individual family provider in Fort Worth, Texas, licensed in Texas (1020731) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104697887
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameIBONNE LOPEZ MASO
Location Address1701 NW 25TH STFort Worth, TX 76164-6850
Mailing Address1701 Nw 25th StFort Worth, TX 76164-6850 · (682) 707-5982 · Fax (682) 707-5984
Phone(682) 707-5982
Fax(682) 707-5984
Sole ProprietorYes
Enumeration DateJanuary 11, 2024
NPPES CertifiedJanuary 11, 2024
✔ NPI 1104697887 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 TX · 1020731
1701 NW 25TH ST, Fort Worth, TX 76164
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ibonne Lopez Maso 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 76164 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
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Other Providers at the Same Location NPPES

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

CLINICA FAMILIAR LAS AMERICAS FW INC
Family Medicine
1701 NW 25TH ST
FORT WORTH, TX 76164
Tarrant County (682) 707-5982

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 Ibonne Lopez Maso's NPI number?

The NPI number for Ibonne Lopez Maso is 1104697887. It was assigned to this individual provider in the NPPES registry on January 11, 2024.

Where is Ibonne Lopez Maso located?

Ibonne Lopez Maso practices at 1701 NW 25th St, Fort Worth, TX 76164. The listed phone number is (682) 707-5982.

What is Ibonne Lopez Maso's specialty?

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

Is Ibonne Lopez Maso enrolled in Medicare?

Yes. Ibonne Lopez Maso is registered in the Medicare PECOS enrollment system.

What insurance does Ibonne Lopez Maso accept?

Health plans from Blue Cross and Blue Shield of Texas list Ibonne Lopez Maso 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.

When was this NPI record last updated?

The NPPES record for Ibonne Lopez Maso was last updated on January 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.