AMANDA MARIE LOPEZ FNP-BC
NPI 1730955857
Nurse Practitioner - Family in Elk Grove, CA
About Amanda Marie Lopez Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA MARIE LOPEZ FNP-BC (NPI 1730955857) is an individual family provider in Elk Grove, California, licensed in California (95028171) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
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
Amanda Marie Lopez Fnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Galt, CA 95632
- Reassigned Medicare billing, California enrollment
- 3 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 95624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Amanda Lopez's NPI number?
The NPI number for Amanda Lopez is 1730955857. It was assigned to this individual provider in the NPPES registry on November 29, 2023.
Where is Amanda Lopez located?
Amanda Lopez practices at 9093 Elk Grove Blvd Ste 100, Elk Grove, CA 95624. The listed phone number is (916) 937-3094.
What is Amanda Lopez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Lopez enrolled in Medicare?
Yes. Amanda 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 Amanda Lopez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Lopez reassigns Medicare benefits to Alleviant Health (Galt, CA). 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 Amanda Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amanda Lopez was last updated on May 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Amanda Marie Lopez, FNP-BC · NPI 1730955857
Family physician in Elk Grove, California. Individual provider, active in the CMS NPPES registry since November 29, 2023.
## Identity
- **NPI:** 1730955857 (Entity type: Individual)
- **Enumerated:** November 29, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95028171 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9093 ELK GROVE BLVD STE 100, Elk Grove, CA 95624-2047
- **Phone:** (916) 937-3094
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Alleviant Health (NPI 1770479669, Galt, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** May 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1730955857) · Data from the CMS NPPES public registry.