DR. GRISELL LOPEZ-FRAGOSO MD
NPI 1346625746
General Practice in Lake Worth, FL

Q: What is Grisell Lopez-fragoso's NPI number?

The NPI number for Grisell Lopez-fragoso is 1346625746. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Q: What is Grisell Lopez-fragoso's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since July 27, 2015PECOS EnrolledAccepts Medicare Assignment

4560 LANTANA RD STE 110&115, LAKE WORTH, FL 33463(888) 726-5116 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 14, 2025, Dec 8, 2021, May 25, 2018 (3 updates tracked since 2018).

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About Dr. Grisell Lopez-fragoso Md NPPES

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

DR. GRISELL LOPEZ-FRAGOSO MD (NPI 1346625746) is an individual general practice provider in Lake Worth, Florida, licensed in Florida (ACN1400) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1346625746

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. GRISELL LOPEZ-FRAGOSOCredential: MD

Location Address4560 LANTANA RD STE 110&115Lake Worth, FL 33463-6998

Mailing Address4560 Lantana Rd Ste 110&115Lake Worth, FL 33463-6998 · (888) 726-5116

Phone(888) 726-5116

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 27, 2015

Last NPPES UpdateFebruary 14, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2025

✔ NPI 1346625746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Licenses✔ Licensed in FL · ACN1400✔ Licensed in PR · 19938

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

4560 LANTANA RD STE 110&115, Lake Worth, FL 33463

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare.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

Dr. Grisell Lopez-fragoso Md 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 ID7618300583

PECOS Enrollment IDI20220127000038

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$46.44 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Grisell Lopez-fragoso's NPI number?

The NPI number for Grisell Lopez-fragoso is 1346625746. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is Grisell Lopez-fragoso located?

Grisell Lopez-fragoso practices at 4560 Lantana Rd Ste 110&115, Lake Worth, FL 33463. The listed phone number is (888) 726-5116.

What is Grisell Lopez-fragoso's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Grisell Lopez-fragoso enrolled in Medicare?

Yes. Grisell Lopez-fragoso 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 Grisell Lopez-fragoso accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Grisell Lopez-fragoso 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 Grisell Lopez-fragoso was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.