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NICOLE LOPEZ
NPI 1255274502
Nurse Practitioner - Family in Blauvelt, NY

Active since April 13, 2026PECOS Enrolled
18 COLONY DR, BLAUVELT, NY 10913(845) 893-6889 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Lopez NPPES

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

NICOLE LOPEZ (NPI 1255274502) is an individual family provider in Blauvelt, New York, licensed in New York (359461) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1255274502
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE LOPEZ
Location Address18 COLONY DRBlauvelt, NY 10913-1319
Mailing Address18 Colony DrBlauvelt, NY 10913-1319 · (845) 893-6889
Phone(845) 893-6889
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 13, 2026
NPPES CertifiedApril 12, 2026
✔ NPI 1255274502 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 NY · 359461
18 COLONY DR, Blauvelt, NY 10913
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Lopez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6507336062
PECOS Enrollment IDI20260526001496
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renew Medical Of New York, PLLC
30 mi
Internal Medicine
7202 FORT HAMILTON PKWY
Brooklyn, NY 11228
  • Reassigned Medicare billing, New York enrollment
  • 44 clinicians in this Medicare group
NPI 1356979447 (929) 491-7700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10913 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 1255274502. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Nicole Lopez located?

Nicole Lopez practices at 18 Colony Dr, Blauvelt, NY 10913. The listed phone number is (845) 893-6889.

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.

Which organization bills Medicare for Nicole Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Lopez reassigns Medicare benefits to Renew Medical Of New York, PLLC (Brooklyn, NY). 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 Nicole 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 Nicole Lopez was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.