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TAMARA LOPEZ APRN
NPI 1417669409
Nurse Practitioner - Family in Hialeah, FL

Active since December 21, 2022PECOS EnrolledAccepts Medicare Assignment
11240 W 35TH CT, HIALEAH, FL 33018(786) 280-5838 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tamara Lopez Aprn NPPES

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

TAMARA LOPEZ APRN (NPI 1417669409) is an individual family provider in Hialeah, Florida, licensed in Florida (11023472) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1417669409
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTAMARA LOPEZCredential: APRN
Location Address11240 W 35TH CTHialeah, FL 33018-2149
Mailing Address11240 W 35th Ct Apt 5309Hialeah, FL 33018-2153 · (786) 280-8538
Phone(786) 280-5838
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
✔ NPI 1417669409 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 FL · 11023472
11240 W 35TH CT, Hialeah, FL 33018
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next and more.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

Tamara Lopez Aprn 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 ID4688038656
PECOS Enrollment IDI20230908001638
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 Tamara Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Miami
13 mi
Pediatric Hematology-Oncology
1601 NW 12TH AVE, BOX 016960 M851
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 3,639 clinicians in this Medicare group
NPI 1104877612 (305) 243-7688

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 2

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.
29 services15 patients
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.
28 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33018 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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 Tamara Lopez's NPI number?

The NPI number for Tamara Lopez is 1417669409. It was assigned to this individual provider in the NPPES registry on December 21, 2022.

Where is Tamara Lopez located?

Tamara Lopez practices at 11240 W 35th Ct, Hialeah, FL 33018. The listed phone number is (786) 280-5838.

What is Tamara Lopez's specialty?

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

Is Tamara Lopez enrolled in Medicare?

Yes. Tamara 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 organization bills Medicare for Tamara Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tamara Lopez reassigns Medicare benefits to University Of Miami (Miami, FL). 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 Tamara Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tamara Lopez accept?

Health plans from Ambetter Health, Ambetter of Alabama, AmeriHealth Caritas Next, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Tamara 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.

When was this NPI record last updated?

The NPPES record for Tamara Lopez was last updated on December 21, 2022. 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.