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KIMBERLY BLACKWELL LOPEZ CRNA
NPI 1790325074
Nurse Anesthetist, Certified Registered in Palm Springs, CA

Active since January 14, 2020Accepts Medicare Assignment
1150 N INDIAN CANYON DR, PALM SPRINGS, CA 92262(808) 854-7133 Get Directions Write a Review

NPPES record last updated: March 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2023, Jan 7, 2021, Feb 12, 2020 and 1 more (4 updates tracked since 2020).

About Kimberly Blackwell Lopez Crna NPPES

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

KIMBERLY BLACKWELL LOPEZ CRNA (NPI 1790325074) is an individual nurse anesthetist, certified registered in Palm Springs, California, licensed in California (95001342) and active in the NPI registry since January 2020. She is a graduate of Other (2019).

NPPES Registry Identity

NPI1790325074
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKIMBERLY BLACKWELL LOPEZCredential: CRNA
Location Address1150 N INDIAN CANYON DRPalm Springs, CA 92262-4872
Mailing Address58607 Piedmont DrYucca Valley, CA 92284-6408 · (808) 854-7133
Phone(808) 854-7133
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 14, 2020
Last NPPES UpdateMarch 12, 20234 updates tracked since enumeration
NPPES CertifiedMarch 12, 2023
✔ NPI 1790325074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95001342
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1150 N INDIAN CANYON DR, Palm Springs, CA 92262
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Other Names 1

Former Name (1)Kimberly Jordan Blackwell

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

Kimberly Blackwell Lopez Crna 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 ID9335564822
PECOS Enrollment IDI20200730002804

Medicare Billing Reassignments

2

Medicare enrollment records show Kimberly Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mission Nursing Anesthesia, Inc
8.7 mi
Nurse Anesthetist, Certified Registered
35800 BOB HOPE DR, SUITE 100
Rancho Mirage, CA 92270
  • Reassigned Medicare billing, California enrollment
  • 96 clinicians in this Medicare group
NPI 1932571551 (615) 620-2320
Coachella Valley Anesthesia A Professional Corporation
176 mi
Anesthesiology
420 34TH ST
Bakersfield, CA 93301
  • Reassigned Medicare billing, California enrollment
  • 183 clinicians in this Medicare group
NPI 1013662048 (760) 538-5898

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 92262 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
$136.04 typical visit price
range $59.60 – $179.42
Typical copayment $34.01 (range $14.90 – $44.85)
Most-billed visit code 99204
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
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.

MICHAEL OLSGAARD
Emergency Medicine
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 323-6830
DESERT HOSPITALIST GROUP INC
Family Medicine
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (619) 471-4372
DR. MUHAMMAD ASIF TAQI M.D.
Psychiatry & Neurology (Vascular Neurology)
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 416-4511
STEPHANIE J CARO MD
Student in an Organized Health Care Education/Training Program
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (619) 319-7043
DR. JEFFERY W. DAVIES D.O.
Emergency Medicine
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 323-6511
DR. THIEN THANH NGUYEN DO
Internal Medicine
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 323-6511
CEP AMERICA - INTENSIVISTS PC
Internal Medicine (Critical Care Medicine)
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 323-6511
ELIZABETH POPESCU DO
Student in an Organized Health Care Education/Training Program
1150 N INDIAN CANYON DR
PALM SPRINGS, CA 92262
Riverside County (760) 323-6511

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 Kimberly Lopez's NPI number?

The NPI number for Kimberly Lopez is 1790325074. It was assigned to this individual provider in the NPPES registry on January 14, 2020. The provider is also known as Kimberly Jordan Blackwell.

Where is Kimberly Lopez located?

Kimberly Lopez practices at 1150 N Indian Canyon Dr, Palm Springs, CA 92262. The listed phone number is (808) 854-7133.

What is Kimberly Lopez's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kimberly Lopez enrolled in Medicare?

Yes. Kimberly 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 Kimberly Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Lopez reassigns Medicare benefits to 2 organizations: Mission Nursing Anesthesia, Inc (Rancho Mirage, CA) and Coachella Valley Anesthesia A Professional Corporation (Bakersfield, CA). 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 Kimberly 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 Kimberly Lopez was last updated on March 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.