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MS. JESSICA S LOPEZ AGPCNP-BC
NPI 1184085136
Nurse Practitioner - Adult Health in Whitestone, NY

Active since March 17, 2016PECOS Enrolled
1802 PETRACCA PL, WHITESTONE, NY 11357(646) 722-7610 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 18, 2025, Jun 23, 2020, Apr 18, 2018 and 2 more (5 updates tracked since 2016).

About Ms. Jessica S Lopez Agpcnp-bc NPPES

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

MS. JESSICA S LOPEZ AGPCNP-BC (NPI 1184085136) is an individual adult health provider in Whitestone, New York, licensed in New York (F307662-1) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184085136
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. JESSICA S LOPEZCredential: AGPCNP-BC
Location Address1802 PETRACCA PLWhitestone, NY 11357-6000
Mailing Address305 E 7th StBrooklyn, NY 11218-3313 · (646) 784-9699
Phone(646) 722-7610
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 17, 2016
Last NPPES UpdateNovember 18, 20255 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1184085136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F307662-1
1802 PETRACCA PL, Whitestone, NY 11357
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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)

Ms. Jessica S Lopez Agpcnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163783846
PECOS Enrollment IDI20180220001206
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 11357 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 2

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

KIRANJIT KAUR
Internal Medicine (Geriatric Medicine)
1802 PETRACCA PL
WHITESTONE, NY 11357
Queens County (646) 722-7610
ALICIA ANN PETRACCA
Dietitian, Registered
1802 PETRACCA PL
WHITESTONE, NY 11357
Queens County (516) 500-1790

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 Jessica Lopez's NPI number?

The NPI number for Jessica Lopez is 1184085136. It was assigned to this individual provider in the NPPES registry on March 17, 2016.

Where is Jessica Lopez located?

Jessica Lopez practices at 1802 Petracca Pl, Whitestone, NY 11357. The listed phone number is (646) 722-7610.

What is Jessica Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jessica Lopez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jessica Lopez was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.