1. Home
  2. Directory
  3. Illinois
  4. Peoria
  5. Nurse Practitioner
  6. NPI Profile

KIMBERLY K LOPEZ
NPI 1154876498
Nurse Practitioner - Family in Peoria, IL

Active since August 16, 2016PECOS EnrolledAccepts Medicare Assignment
5401 N KNOXVILLE AVE, SUITE 416, PEORIA, IL 61614(309) 692-7246 Get Directions Write a Review

NPPES record last updated: August 16, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kimberly K Lopez NPPES

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

KIMBERLY K LOPEZ (NPI 1154876498) is an individual family provider in Peoria, Illinois, licensed in Illinois (209014626) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Pekin Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1154876498
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKIMBERLY K LOPEZ
Location Address5401 N KNOXVILLE AVE, SUITE 416Peoria, IL 61614-5098
Mailing Address5401 N Knoxville Ave, Suite 416Peoria, IL 61614-5098 · (309) 692-7246
Phone(309) 692-7246
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 16, 2016
✔ NPI 1154876498 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 IL · 209014626
5401 N KNOXVILLE AVE, Peoria, IL 61614
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly K Peterson Apn

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly K Lopez is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668769928
PECOS Enrollment IDI20160929002498
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

5

Medicare enrollment records show Kimberly Lopez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Methodist Medical Center Of Illinois
3.6 mi
Psychiatric Unit
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1164474755 (Illinois)
  • 693 clinicians in this Medicare group
NPI 1275583155 (309) 672-5522
Pekin Prohealth Inc
13 mi
Family Medicine
600 S 13TH ST, SUITE M
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 142 clinicians in this Medicare group
NPI 1932150299 (309) 353-0825
Bond Eye Associates, Sc
13 mi
Ophthalmology
725 S 14TH ST
Pekin, IL 61554
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1285725903 (309) 353-6660
Millennium Pain Center LLC
39 mi
Pain
2406 E EMPIRE ST
Bloomington, IL 61704
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1225196488 (309) 662-4321
Carle Health Medical Group
85 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services30 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
16 services16 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

COLLIN DAVID ALLEN APN
Student in an Organized Health Care Education/Training Program
5401 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1000
YIBING LI MD
Physical Medicine & Rehabilitation
5401 N KNOXVILLE AVE, STE 117
PEORIA, IL 61614
Peoria County (309) 689-8888
PATTI L ALLY
Audiologist-Hearing Aid Fitter
5401 N KNOXVILLE AVE, SUITE 116
PEORIA, IL 61614
Peoria County (309) 282-0887
PROCTOR HEALTH SYSTEMS
Clinic/Center (Medical Specialty)
5401 N KNOXVILLE AVE, SUITE 103
PEORIA, IL 61614
Peoria County (309) 691-7800
MS. BARBARA J NALL APN
Nurse Practitioner (Women's Health)
5401 N KNOXVILLE AVE, SUITE 308
PEORIA, IL 61614
Peoria County (309) 692-5100
SUSAN GWILLIM PT
Physical Therapist
5401 N KNOXVILLE AVE, SUITE 218
PEORIA, IL 61614
Peoria County (309) 693-2244
MR. KEVIN M HENRY MD
Anesthesiology (Pain Medicine)
5401 N KNOXVILLE AVE, SUITE 416
PEORIA, IL 61614
Peoria County (309) 692-7246
MS. COLLEEN SUSANNE CUSHING RAGON APN, CNS
Nurse Practitioner (Family)
5401 N KNOXVILLE AVE
PEORIA, IL 61614
Peoria County (309) 691-1069

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 Kimberly Lopez's NPI number?

The NPI number for Kimberly Lopez is 1154876498. It was assigned to this individual provider in the NPPES registry on August 16, 2016. The provider is also known as Kimberly K Peterson Apn.

Where is Kimberly Lopez located?

Kimberly Lopez practices at 5401 N Knoxville Ave Suite 416, Peoria, IL 61614. The listed phone number is (309) 692-7246.

What is Kimberly Lopez's specialty?

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

Is Kimberly Lopez enrolled in Medicare?

Yes. Kimberly Lopez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kimberly Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Lopez reassigns Medicare benefits to 5 organizations: Methodist Medical Center Of Illinois (Peoria, IL), Pekin Prohealth Inc (Pekin, IL), Bond Eye Associates, Sc (Pekin, IL), Millennium Pain Center LLC (Bloomington, IL) and Carle Health Medical Group (Urbana, IL). 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 Kimberly Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kimberly Lopez affiliated with any hospitals?

According to CMS data, Kimberly Lopez is affiliated with Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Kimberly Lopez was last updated on August 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.