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JOSH LOPEZ
NPI 1184166001
Nurse Practitioner - Family in Elgin, IL

Active since November 09, 2016PECOS EnrolledAccepts Medicare Assignment
1665 LARKIN AVE, ELGIN, IL 60123(847) 695-1093(847) 695-0501 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2023, Aug 14, 2020, Mar 22, 2017 and 1 more (4 updates tracked since 2016).

About Josh Lopez NPPES

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

JOSH LOPEZ (NPI 1184166001) is an individual family provider in Elgin, Illinois, licensed in Illinois (277.000904) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1184166001
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOSH LOPEZ
Location Address1665 LARKIN AVEElgin, IL 60123-5977
Mailing Address4025 N Sheridan RdChicago, IL 60613-2010
Phone(847) 695-1093
Fax(847) 695-0501
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 9, 2016
Last NPPES UpdateMarch 23, 20234 updates tracked since enumeration
NPPES CertifiedMarch 23, 2023
✔ NPI 1184166001 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
Licenses✔ Licensed in IL · 277.000904✔ Licensed in IL · 209015033
1665 LARKIN AVE, Elgin, IL 60123
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Josh 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 ID6800176363
PECOS Enrollment IDI20161130000098
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.
100 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services19 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60123 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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 3

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

OPEN DOOR CLINIC OF GREATER ELGIN
Clinic/Center (Medical Specialty)
1665 LARKIN AVE
ELGIN, IL 60123
Kane County (847) 695-1093
THOMAS JORGE TORREZ
Nurse Practitioner (Family)
1665 LARKIN AVE
ELGIN, IL 60123
Kane County (847) 695-1093
MONICA ROSE HERDRICH FNP-C
Nurse Practitioner (Family)
1665 LARKIN AVE
ELGIN, IL 60123
Kane County (847) 695-1093

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 Josh Lopez's NPI number?

The NPI number for Josh Lopez is 1184166001. It was assigned to this individual provider in the NPPES registry on November 9, 2016.

Where is Josh Lopez located?

Josh Lopez practices at 1665 Larkin Ave, Elgin, IL 60123. The listed phone number is (847) 695-1093.

What is Josh Lopez's specialty?

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

Is Josh Lopez enrolled in Medicare?

Yes. Josh 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.

What insurance does Josh Lopez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Josh Lopez 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 Josh Lopez was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.