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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER LYNN LOPEZ APRN
NPI 1750103362
Nurse Practitioner in St Augustine, FL

Active since October 26, 2024PECOS EnrolledAccepts Medicare Assignment
811 STATE ROAD 206 E STE 3, ST AUGUSTINE, FL 32086(904) 342-2989(904) 824-6243 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennifer Lynn Lopez Aprn NPPES

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

JENNIFER LYNN LOPEZ APRN (NPI 1750103362) is an individual nurse practitioner in St Augustine, Florida, licensed in Florida (APRN11035987) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Flagler Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750103362
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER LYNN LOPEZCredential: APRN
Location Address811 STATE ROAD 206 E STE 3St Augustine, FL 32086-4869
Mailing AddressPo Box 3123St Augustine, FL 32085-3123 · (904) 824-4990 · Fax (904) 824-2226
Phone(904) 342-2989
Fax(904) 824-6243
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 26, 2024
Last NPPES UpdateJune 16, 2026
NPPES CertifiedJune 16, 2026
✔ NPI 1750103362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11035987
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedFamily MedicineTaxonomy 207Q00000X · License APRN11035987 (FL)
811 STATE ROAD 206 E STE 3, St Augustine, FL 32086
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Lynn Lopez Aprn 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 ID6305376831
PECOS Enrollment IDI20250212002575
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.

Hospital Affiliations CMS Care Compare

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

Flagler Hospital

Acute Care Hospitals · Saint Augustine, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100090
Location400 Health Park BlvdSaint Augustine, FL 32086 · St. Johns County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32086 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

ST AUGUSTINE PRIMARY CARE P L
Family Medicine
811 STATE ROAD 206 E STE 3
ST AUGUSTINE, FL 32086
St. Johns County (904) 342-2989

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 Jennifer Lopez's NPI number?

The NPI number for Jennifer Lopez is 1750103362. It was assigned to this individual provider in the NPPES registry on October 26, 2024.

Where is Jennifer Lopez located?

Jennifer Lopez practices at 811 State Road 206 E Ste 3, St Augustine, FL 32086. The listed phone number is (904) 342-2989.

What is Jennifer Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Lopez enrolled in Medicare?

Yes. Jennifer 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.

Is Jennifer Lopez affiliated with any hospitals?

According to CMS data, Jennifer Lopez is affiliated with Flagler Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Lopez was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days 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.