PRESTON ERIC LOPEZ PA
NPI 1407111834
Physician Assistant - Surgical in Olympia, WA

Active since July 11, 2012PECOS EnrolledAccepts Medicare Assignment
615 LILLY RD NE STE 100, OLYMPIA, WA 98506(360) 491-4211 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 5, 2026, Aug 24, 2023 (2 updates tracked since 2023).

About Preston Eric Lopez Pa NPPES

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

PRESTON ERIC LOPEZ PA (NPI 1407111834) is an individual surgical provider in Olympia, Washington and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and is a graduate of University Of Nebraska College Of Medicine (2012).

NPPES Registry Identity

NPI1407111834
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NamePRESTON ERIC LOPEZCredential: PA
Location Address615 LILLY RD NE STE 100Olympia, WA 98506-5117
Mailing AddressPo Box 368Olympia, WA 98507-0368 · (360) 455-5144 · Fax (360) 491-7536
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 2012
Enumeration DateJuly 11, 2012
Last NPPES UpdateJune 5, 20262 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
NPI 1407111834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician AssistantTaxonomy 363A00000X
615 LILLY RD NE STE 100, Olympia, WA 98506

Accepted 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

Preston Eric Lopez Pa 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 ID8628483856
PECOS Enrollment IDI20260326003172
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

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

Providence St Peter Hospital

Acute Care Hospitals · Olympia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500024
Location413 Lilly Road NEOlympia, WA 98506 · Thurston County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 12

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

Physician Assistant (Surgical)
615 LILLY RD NE STE 100
OLYMPIA, WA 98506
Orthopaedic Surgery (Foot and Ankle Surgery)
615 LILLY RD NE STE 100
OLYMPIA, WA 98506
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
615 LILLY RD NE STE 100
OLYMPIA, WA 98506
Nurse Practitioner
615 LILLY RD NE STE 100
OLYMPIA, WA 98506
Physician Assistant
615 LILLY RD NE STE 100
OLYMPIA, WA 98506
Orthopaedic Surgery
615 LILLY RD NE STE 100
OLYMPIA, WA 98506
Physician Assistant (Surgical)
615 LILLY RD NE STE 100
OLYMPIA, WA 98506
Physician Assistant
615 LILLY RD NE STE 100
OLYMPIA, WA 98506

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 Preston Lopez's NPI number?

The NPI number for Preston Lopez is 1407111834. It was assigned to this individual provider in the NPPES registry on July 11, 2012.

Where is Preston Lopez located?

Preston Lopez practices at 615 Lilly Rd NE Ste 100, Olympia, WA 98506. The listed phone number is (360) 491-4211.

What is Preston Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Preston Lopez enrolled in Medicare?

Yes. Preston 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 Preston Lopez accept?

Health plans from Blue Cross and Blue Shield of Texas list Preston 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 Preston Lopez affiliated with any hospitals?

According to CMS data, Preston Lopez is affiliated with Providence St Peter Hospital.

When was this NPI record last updated?

The NPPES record for Preston Lopez was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.