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

Q: 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.

Q: What is Kimberly 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 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 9 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 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: August 02, 2026.

On this page

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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

SUSAN J COLE, MD & ASSOCIATES

Clinic/Center (Medical Specialty)

5401 N KNOXVILLE AVE, SUITE 107
PEORIA, IL 61614

Peoria County (309) 691-2311

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.

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 9 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.