JACKELINE LOPEZ AGNP- PCP, MSN
NPI 1225875834
Registered Nurse in Santa Monica, CA
About Jackeline Lopez Agnp- Pcp, Msn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKELINE LOPEZ AGNP- PCP, MSN (NPI 1225875834) is an individual registered nurse in Santa Monica, California, licensed in California (95100221) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Jackeline Lopez Agnp- Pcp, Msn 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.
Medicare Billing Reassignment
Medicare enrollment records show Jackeline Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chino, CA 91710
- Reassigned Medicare billing, California enrollment
- 9 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SANTA MONICA, CA 90404
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 Jackeline Lopez's NPI number?
The NPI number for Jackeline Lopez is 1225875834. It was assigned to this individual provider in the NPPES registry on July 10, 2024. The provider is also known as Jackeline Arias.
Where is Jackeline Lopez located?
Jackeline Lopez practices at 1250 16th St, Santa Monica, CA 90404. The listed phone number is (310) 825-9111.
What is Jackeline Lopez's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Jackeline Lopez enrolled in Medicare?
Yes. Jackeline 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 organization bills Medicare for Jackeline Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackeline Lopez reassigns Medicare benefits to Our Family Medical Group, Inc. (Chino, CA). The 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 Jackeline Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jackeline Lopez was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jackeline Lopez, AGNP- PCP, MSN · NPI 1225875834
Registered Nurse provider in Santa Monica, California. Individual provider, active in the CMS NPPES registry since July 10, 2024.
## Identity
- **NPI:** 1225875834 (Entity type: Individual)
- **Enumerated:** July 10, 2024
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** 95100221 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1250 16TH ST, Santa Monica, CA 90404-1249
- **Phone:** (310) 825-9111
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Our Family Medical Group, Inc. (NPI 1982419081, Chino, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1225875834) · Data from the CMS NPPES public registry.