JOSE LOPEZ FNP-C
NPI 1114535044
Nurse Practitioner - Family in Redlands, CA

Q: What is Jose Lopez's NPI number?

The NPI number for Jose Lopez is 1114535044. It was assigned to this individual provider in the NPPES registry on July 16, 2020.

Q: What is Jose Lopez's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jose Lopez was last updated on August 21, 2020. 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.

Active since July 16, 2020PECOS Enrolled

2 W FERN AVE, REDLANDS, CA 92373(909) 793-3311 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 21, 2020, Jul 16, 2020 (2 updates tracked since 2020).

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About Jose Lopez Fnp-c NPPES

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

JOSE LOPEZ FNP-C (NPI 1114535044) is an individual family provider in Redlands, California, licensed in California (95014938) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Redlands.

NPPES Registry Identity

NPI1114535044

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJOSE LOPEZCredential: FNP-C

Location Address2 W FERN AVERedlands, CA 92373-5916

Mailing AddressPo Box 10069San Bernardino, CA 92423-0069 · (093) 354-1889

Phone(909) 793-3311

Sole ProprietorNo

Enumeration DateJuly 16, 2020

Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration

NPPES CertifiedAugust 21, 2020

✔ NPI 1114535044 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 CA · 95014938

2 W FERN AVE, Redlands, CA 92373

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Secondary Practice Location 1

Location 1350 Terracina BlvdRedlands, CA 92373-4850 · Phone (909) 335-5500

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Lopez Fnp-c 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 92373 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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 20

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

CYNTHIA L PACHECO AGACNP

Nurse Practitioner (Acute Care)