JENNIFER KNICKERBOCKER LOPEZ PHYSICIAN ASSISTANT
NPI 1356901623
Physician Assistant in The Colony, TX

Q: What is Jennifer Lopez's NPI number?

The NPI number for Jennifer Lopez is 1356901623. It was assigned to this individual provider in the NPPES registry on June 18, 2019. The provider is also known as Jennifer Anne Knickerbocker Physician Assistant.

Q: What is Jennifer Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Lopez was last updated on July 12, 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.

Active since June 18, 2019PECOS EnrolledAccepts Medicare Assignment

5702 SAINTSBURY DR APT 123, THE COLONY, TX 75056(316) 558-2341 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2023, Jun 18, 2019 (2 updates tracked since 2019).

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About Jennifer Knickerbocker Lopez Physician Assistant NPPES

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

JENNIFER KNICKERBOCKER LOPEZ PHYSICIAN ASSISTANT (NPI 1356901623) is an individual physician assistant in The Colony, Texas and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1356901623

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNIFER KNICKERBOCKER LOPEZCredential: PHYSICIAN ASSISTANT

Location Address5702 SAINTSBURY DR APT 123The Colony, TX 75056-5488

Mailing Address5702 Saintsbury Dr Apt 123The Colony, TX 75056-5488

Phone(316) 558-2341

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJune 18, 2019

Last NPPES UpdateJuly 12, 20232 updates tracked since enumeration

NPPES CertifiedJuly 12, 2023

✔ NPI 1356901623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

5702 SAINTSBURY DR APT 123, The Colony, TX 75056

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Other Names 1

Former Name (1)Jennifer Anne Knickerbocker Physician Assistant

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Jennifer Knickerbocker Lopez Physician Assistant 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 ID9537491972

PECOS Enrollment IDI20191104002553

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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Baylor Scott & White Medical Center- Waxahachie

Acute Care Hospitals · Waxahachie, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450372

Location2400 N Interstate Highway 35EWaxahachie, TX 75165 · Ellis County

Emergency services Birthing friendly

Baylor Scott & White Heart & Vascular Hospital - Dallas

Acute Care Hospitals · Dallas, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number450851

Location621 North Hall StreetDallas, TX 75226 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75056 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers11 claims11 services$57.15 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 Jennifer Lopez's NPI number?

The NPI number for Jennifer Lopez is 1356901623. It was assigned to this individual provider in the NPPES registry on June 18, 2019. The provider is also known as Jennifer Anne Knickerbocker Physician Assistant.

Where is Jennifer Lopez located?

Jennifer Lopez practices at 5702 Saintsbury Dr Apt 123, The Colony, TX 75056. The listed phone number is (316) 558-2341.

What is Jennifer Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jennifer Lopez enrolled in Medicare?

Yes. Jennifer 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 Jennifer Lopez accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Jennifer 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.

Is Jennifer Lopez affiliated with any hospitals?

According to CMS data, Jennifer Lopez is affiliated with Baylor University Medical Center, Baylor Scott & White Medical Center- Waxahachie and Baylor Scott & White Heart & Vascular Hospital - Dallas.

When was this NPI record last updated?

The NPPES record for Jennifer Lopez was last updated on July 12, 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.