ELISE LOPEZ
NPI 1710673769
Family Medicine in Waco, TX
About Elise Lopez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELISE LOPEZ (NPI 1710673769) is an individual family medicine provider in Waco, Texas, licensed in Montana (MED-PHYS-LIC-174527) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Dillon.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Elise Lopez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Elise Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dillon, MT 59725
- Reassigned Medicare billing, Montana enrollment
- Also billed through NPI 1396286480 (Montana)
- 53 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 76707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Elise Lopez's NPI number?
The NPI number for Elise Lopez is 1710673769. It was assigned to this individual provider in the NPPES registry on April 13, 2023.
Where is Elise Lopez located?
Elise Lopez practices at 1600 Providence Dr, Waco, TX 76707. The listed phone number is (254) 313-4418.
What is Elise Lopez's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Elise Lopez enrolled in Medicare?
Yes. Elise Lopez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Elise Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elise Lopez reassigns Medicare benefits to Barrett Hospital Development Corporation (Dillon, MT). 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 Elise Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elise Lopez accept?
Health plans from Blue Cross and Blue Shield of Montana list Elise 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 Elise Lopez was last updated on July 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Elise Lopez · NPI 1710673769
Family Medicine physician in Waco, Texas. Individual provider, active in the CMS NPPES registry since April 13, 2023.
## Identity
- **NPI:** 1710673769 (Entity type: Individual)
- **Enumerated:** April 13, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MED-PHYS-LIC-174527 (Montana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 PROVIDENCE DR, Waco, TX 76707-2261
- **Phone:** (254) 313-4418
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Barrett Hospital Development Corporation (NPI 1326042078, Dillon, MT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1710673769) · Data from the CMS NPPES public registry.