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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

NICOLE R LOPEZ
NPI 1215856695
Nurse Practitioner - Family in Braidwood, IL

Active since July 10, 2026PECOS Enrolled
389 E MAIN ST, BRAIDWOOD, IL 60408(815) 458-2532 Get Directions Write a Review

NPPES record added: August 12, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 12, 2026, Jul 10, 2026 (2 updates tracked since 2026).

About Nicole R Lopez NPPES

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

NICOLE R LOPEZ (NPI 1215856695) is an individual family provider in Braidwood, Illinois, licensed in Illinois (209.035840) and active in the NPI registry since July 2026. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1215856695
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE R LOPEZ
Location Address389 E MAIN STBraidwood, IL 60408-2010
Mailing Address725 School St Ste AMorris, IL 60450-1207
Phone(815) 458-2532
Sole ProprietorNo
Enumeration DateJuly 10, 2026
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1215856695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.035840
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209.035840 (IL)
389 E MAIN ST, Braidwood, IL 60408
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1101 S Prairie AveDwight, IL 60420-1350 · Phone (815) 584-3291
Location 2150 W High StMorris, IL 60450-1463 · Phone (815) 942-2932

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole R Lopez 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 60408 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

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

JENNIFER L THOMAS M.D.
Family Medicine
389 E MAIN ST
BRAIDWOOD, IL 60408
Will County (815) 458-2532

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 Nicole Lopez's NPI number?

The NPI number for Nicole Lopez is 1215856695. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Nicole Lopez located?

Nicole Lopez practices at 389 E Main St, Braidwood, IL 60408. The listed phone number is (815) 458-2532.

What is Nicole Lopez's specialty?

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

Is Nicole Lopez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Lopez was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.