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JESSICA CAROLINA LOPEZ APN
NPI 1457125148
Nurse Practitioner - Family in Oakhurst, NJ

Active since November 13, 2023PECOS EnrolledAccepts Medicare Assignment
1912 STATE ROUTE 35 STE 101, OAKHURST, NJ 07755(732) 222-4762 Get Directions Write a Review

NPPES record last updated: December 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jessica Carolina Lopez Apn NPPES

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

JESSICA CAROLINA LOPEZ APN (NPI 1457125148) is an individual family provider in Oakhurst, New Jersey, licensed in New Jersey (26NJ14979200) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1457125148
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA CAROLINA LOPEZCredential: APN
Location Address1912 STATE ROUTE 35 STE 101Oakhurst, NJ 07755-2768
Mailing Address1912 State Route 35 Ste 101Oakhurst, NJ 07755-2768
Phone(732) 222-4762
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 13, 2023
Last NPPES UpdateDecember 21, 2023
NPPES CertifiedDecember 21, 2023
✔ NPI 1457125148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ14979200
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR19606300 (NJ)
1912 STATE ROUTE 35 STE 101, Oakhurst, NJ 07755
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Jessica Carolina 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 ID840634911
PECOS Enrollment IDI20240216000509
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 Jessica Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Id Care LLC
36 mi
Infectious Disease
105 RAIDER BLVD, SUITE 101
Hillsborough, NJ 08844
  • Reassigned Medicare billing, New Jersey enrollment
  • 146 clinicians in this Medicare group
NPI 1639146277 (908) 281-0221

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
391 services131 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
262 services130 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
63 services62 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
46 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
19 services12 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
15 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07755 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 2

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

SHWETA MEHRA NP-C
Nurse Practitioner (Adult Health)
1912 STATE ROUTE 35 STE 101
OAKHURST, NJ 07755
Monmouth County (732) 222-4762
MISS DANIELLE DEFOTO PA
Physician Assistant
1912 STATE ROUTE 35 STE 101
OAKHURST, NJ 07755
Monmouth County (732) 222-4762

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 Jessica Lopez's NPI number?

The NPI number for Jessica Lopez is 1457125148. It was assigned to this individual provider in the NPPES registry on November 13, 2023.

Where is Jessica Lopez located?

Jessica Lopez practices at 1912 State Route 35 Ste 101, Oakhurst, NJ 07755. The listed phone number is (732) 222-4762.

What is Jessica Lopez's specialty?

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

Is Jessica Lopez enrolled in Medicare?

Yes. Jessica 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 Jessica Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Lopez reassigns Medicare benefits to Id Care LLC (Hillsborough, NJ). 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 Jessica Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Lopez accept?

Health plans from Oscar Health list Jessica 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 Jessica Lopez affiliated with any hospitals?

According to CMS data, Jessica Lopez is affiliated with Ocean Medical Center, Jersey Shore University Medical Center and Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Jessica Lopez was last updated on December 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.