MRS. GEORGINA GONZALEZ LOPEZ APN
NPI 1386918597
Nurse Practitioner - Family in Benton Harbor, MI

Active since March 06, 2012PECOS EnrolledAccepts Medicare Assignment
1275 MALL DR, BENTON HARBOR, MI 49022(269) 934-9123 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 16, 2021, Feb 9, 2021 (2 updates tracked since 2021).

About Mrs. Georgina Gonzalez Lopez Apn NPPES

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

MRS. GEORGINA GONZALEZ LOPEZ APN (NPI 1386918597) is an individual family provider in Benton Harbor, Michigan, licensed in Illinois (277000954) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386918597
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. GEORGINA GONZALEZ LOPEZCredential: APN
Location Address1275 MALL DRBenton Harbor, MI 49022-2309
Mailing Address1275 Mall DrBenton Harbor, MI 49022-2309 · (269) 934-9123
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 6, 2012
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1386918597 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 IL · 277000954
1275 MALL DR, Benton Harbor, MI 49022

Other Names 1

Former Name (1)Ms. Georgina Gonzalez

Secondary Practice Locations 2

Location 110855 Virginia StCrown Point, IN 46307-0210 · Phone (773) 702-1000
Location 2350 N Wall StKankakee, IL 60901-2901 · Phone (815) 933-1671

Accepted Insurance

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

Mrs. Georgina Gonzalez Lopez Apn 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 ID8426211525
PECOS Enrollment IDI20120530000507, I20240620003662
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 Reassignments

2

Medicare enrollment records show Georgina Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Indiana enrollment
  • 343 clinicians in this Medicare group
General Practice
1905 W COURT ST
Kankakee, IL 60901
  • Reassigned Medicare billing, Illinois enrollment
  • 381 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
72 services68 patients

Hospital Affiliations CMS Care Compare 2

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

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49022 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

Clinic/Center (VA)
1275 MALL DR
BENTON HARBOR, MI 49022
Social Worker (Clinical)
1275 MALL DR
BENTON HARBOR, MI 49022
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1275 MALL DR
BENTON HARBOR, MI 49022

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 Georgina Lopez's NPI number?

The NPI number for Georgina Lopez is 1386918597. It was assigned to this individual provider in the NPPES registry on March 6, 2012. The provider is also known as Ms. Georgina Gonzalez.

Where is Georgina Lopez located?

Georgina Lopez practices at 1275 Mall Dr, Benton Harbor, MI 49022. The listed phone number is (269) 934-9123.

What is Georgina Lopez's specialty?

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

Is Georgina Lopez enrolled in Medicare?

Yes. Georgina 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 organizations bill Medicare for Georgina Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Georgina Lopez reassigns Medicare benefits to 2 organizations: University Of Chicago (Chicago, IL) and Riverside Health System (Kankakee, IL). Each 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 Georgina Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Georgina Lopez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Georgina 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 Georgina Lopez affiliated with any hospitals?

According to CMS data, Georgina Lopez is affiliated with The University Of Chicago Medical Center and Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Georgina Lopez was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.