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MRS. MICHELLE LEE LOPEZ APRN, FNP
NPI 1821577552
Nurse Practitioner - Family in Harlingen, TX

Active since August 13, 2018PECOS EnrolledAccepts Medicare Assignment
53.42/100
CMS Quality Rating
512 VICTORIA LN STE 2, HARLINGEN, TX 78550(956) 365-4400(956) 365-4111 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2021, Feb 14, 2020, Oct 30, 2019 and 1 more (4 updates tracked since 2018).

About Mrs. Michelle Lee Lopez Aprn, Fnp NPPES

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

MRS. MICHELLE LEE LOPEZ APRN, FNP (NPI 1821577552) is an individual family provider in Harlingen, Texas, licensed in Texas (AP138436) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821577552
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MICHELLE LEE LOPEZCredential: APRN, FNP
Location Address512 VICTORIA LN STE 2Harlingen, TX 78550-3227
Mailing Address512 Victoria Ln, Ste 2Harlingen, TX 78550-3227 · (956) 365-4400 · Fax (956) 365-4111
Phone(956) 365-4400
Fax(956) 365-4111
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 13, 2018
Last NPPES UpdateApril 22, 20214 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1821577552 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 TX · AP138436
512 VICTORIA LN STE 2, Harlingen, TX 78550
Open in Google Maps ↗

Other Identifiers 1

Medicaid404086702TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Mrs. Michelle Lee Lopez Aprn, Fnp 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 ID5092147793
PECOS Enrollment IDI20191119001164
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.

Medicare Billing Reassignment

Medicare enrollment records show Michelle Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gastroenterology Consultants Of South Texas, PLLC
Same address
Gastroenterology
512 VICTORIA LN STE 2
Harlingen, TX 78550
  • Reassigned Medicare billing, Texas enrollment
  • 46 clinicians in this Medicare group
NPI 1821127002 (956) 365-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
468 services297 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services82 patients

Hospital Affiliations CMS Care Compare 2

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450033
Location2101 Pease StHarlingen, TX 78550 · Cameron County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78550 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

53.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.29
Promoting Interoperability0
Improvement Activities0
Cost70.78

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.

MS. NADIA YVETTE LOZANO APRN, FNP-C
Nurse Practitioner (Family)
512 VICTORIA LN STE 2
HARLINGEN, TX 78550
Cameron County (956) 365-4400
MAURO SILVA MD, MPH
Internal Medicine (Gastroenterology)
512 VICTORIA LN STE 2
HARLINGEN, TX 78550
Cameron County (956) 365-4400
ALYSSA DAWSON CRNA
Nurse Anesthetist, Certified Registered
512 VICTORIA LN STE 2
HARLINGEN, TX 78550
Cameron County (956) 365-4400
MR. SANDEEP THOMAS SAMUEL MD
Internal Medicine (Gastroenterology)
512 VICTORIA LN STE 2
HARLINGEN, TX 78550
Cameron County (956) 365-4400
DR. NOLAN E PEREZ MD
Internal Medicine (Gastroenterology)
512 VICTORIA LN STE 2
HARLINGEN, TX 78550
Cameron County (956) 365-4000
AUDREY MARIA HINOJOSA FNP
Nurse Practitioner
512 VICTORIA LN STE 2
HARLINGEN, TX 78550
Cameron County (956) 365-4400
TANIA GARCIA NP
Nurse Practitioner (Family)
512 VICTORIA LN STE 2
HARLINGEN, TX 78550
Cameron County (956) 365-4400
LISA LOPEZ FNP
Nurse Practitioner (Family)
512 VICTORIA LN STE 2
HARLINGEN, TX 78550
Cameron County (956) 365-4400

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 Michelle Lopez's NPI number?

The NPI number for Michelle Lopez is 1821577552. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Michelle Lopez located?

Michelle Lopez practices at 512 Victoria Ln Ste 2, Harlingen, TX 78550. The listed phone number is (956) 365-4400.

What is Michelle Lopez's specialty?

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

Is Michelle Lopez enrolled in Medicare?

Yes. Michelle 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 Michelle Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Lopez reassigns Medicare benefits to Gastroenterology Consultants Of South Texas, PLLC (Harlingen, TX). 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 Michelle Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Lopez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Michelle 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.

Is Michelle Lopez affiliated with any hospitals?

According to CMS data, Michelle Lopez is affiliated with Vhs Harlingen Hospital Company LLC and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Michelle Lopez was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.