KRYSTAL DENISSE LOPEZ
NPI 1629711544
Family Medicine in Lubbock, TX

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
602 INDIANA AVE, LUBBOCK, TX 79415(806) 743-9098 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 10, 2022, Apr 25, 2022, Apr 19, 2022 (3 updates tracked since 2022).

About Krystal Denisse Lopez NPPES

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

KRYSTAL DENISSE LOPEZ (NPI 1629711544) is an individual family medicine provider in Lubbock, Texas, licensed in Texas (V9057) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with University Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629711544
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRYSTAL DENISSE LOPEZ
Location Address602 INDIANA AVELubbock, TX 79415-3364
Mailing Address4801 Alberta AveEl Paso, TX 79905-2707
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 19, 2022
Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1629711544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · V9057
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10081493 (TX)
602 INDIANA AVE, Lubbock, TX 79415

Secondary Practice Locations 2

Location 14801 Alberta AveEl Paso, TX 79905-2707 · Phone (915) 215-8000
Location 211011 Slide RdLubbock, TX 79424-2274 · Phone (806) 743-9098

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

Krystal Denisse Lopez 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 ID6204334303
PECOS Enrollment IDI20250808000466
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 Krystal Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist
602 INDIANA AVE
Lubbock, TX 79415
  • Reassigned Medicare billing, Texas enrollment
  • 64 clinicians in this Medicare group
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 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.

Hospital Affiliations CMS Care Compare 2

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

University Medical Center

Acute Care Hospitals · Lubbock, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450686
Location602 Indiana AvenueLubbock, TX 79415 · Lubbock County
Emergency services Birthing friendly

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79415 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 20

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

Pediatrics (Pediatric Critical Care Medicine)
602 INDIANA AVE
LUBBOCK, TX 79415
Surgery (Surgical Critical Care)
602 INDIANA AVE
LUBBOCK, TX 79415
Family Medicine
602 INDIANA AVE
LUBBOCK, TX 79415
Anesthesiologist Assistant
602 INDIANA AVE
LUBBOCK, TX 79415
Pediatrics (Neonatal-Perinatal Medicine)
602 INDIANA AVE
LUBBOCK, TX 79415
Anesthesiology
602 INDIANA AVE
LUBBOCK, TX 79415
Emergency Medicine
602 INDIANA AVE
LUBBOCK, TX 79415
Nurse Practitioner (Family)
602 INDIANA AVE
LUBBOCK, TX 79415

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 Krystal Lopez's NPI number?

The NPI number for Krystal Lopez is 1629711544. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Krystal Lopez located?

Krystal Lopez practices at 602 Indiana Ave, Lubbock, TX 79415. The listed phone number is (806) 743-9098.

What is Krystal Lopez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Krystal Lopez enrolled in Medicare?

Yes. Krystal 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 Krystal Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krystal Lopez reassigns Medicare benefits to 2 organizations: Lubbock County Hospital District (Lubbock, TX) and Tmh Physician Associates PLLC (Houston, TX). 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 Krystal Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Krystal Lopez affiliated with any hospitals?

According to CMS data, Krystal Lopez is affiliated with University Medical Center and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Krystal Lopez was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.