MRS. KELLIE TOSHIYE LOPEZ FNP
NPI 1740376656
Nurse Practitioner - Family in Montrose, CA

Q: What is Kellie Lopez's NPI number?

The NPI number for Kellie Lopez is 1740376656. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Mrs. Kellie Toshiye Kell Fnp.

Q: What is Kellie Lopez's specialty?

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

Q: Is Kellie Lopez enrolled in Medicare?

No. Kellie Lopez has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Kellie Lopez was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since October 05, 2006Opted out of Medicare · through Jul 1, 2027

2103 MONTROSE AVENUE SUITE D, MONTROSE, CA 91020(818) 319-3911 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2025, Oct 7, 2020 (2 updates tracked since 2020).

On this page

About Mrs. Kellie Toshiye Lopez Fnp NPPES

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

MRS. KELLIE TOSHIYE LOPEZ FNP (NPI 1740376656) is an individual family provider in Montrose, California, licensed in California (NP15929) and active in the NPI registry since October 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1740376656

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. KELLIE TOSHIYE LOPEZCredential: FNP

Location Address2103 MONTROSE AVENUE SUITE DMontrose, CA 91020

Mailing Address2103 Montrose Avenue Suite DMontrose, CA 91020 · (818) 319-3911

Phone(818) 319-3911

Sole ProprietorYes

Enumeration DateOctober 5, 2006

Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration

NPPES CertifiedOctober 7, 2020

✔ NPI 1740376656 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 CA · NP15929

2103 MONTROSE AVENUE SUITE D, Montrose, CA 91020

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Other Names 1

Former Name (1)Mrs. Kellie Toshiye Kell Fnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kellie Toshiye Lopez Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2025 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2025

Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91020 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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 Kellie Lopez's NPI number?

The NPI number for Kellie Lopez is 1740376656. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Mrs. Kellie Toshiye Kell Fnp.

Where is Kellie Lopez located?

Kellie Lopez practices at 2103 Montrose Avenue Suite D, Montrose, CA 91020. The listed phone number is (818) 319-3911.

What is Kellie Lopez's specialty?

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

Is Kellie Lopez enrolled in Medicare?

No. Kellie Lopez has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kellie Lopez was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.