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MR. ALFREDO IVAN LOPEZ NP
NPI 1891553913
Nurse Practitioner - Family in Fresno, CA

Active since March 12, 2024PECOS EnrolledAccepts Medicare Assignment
135 W SHAW AVE, FRESNO, CA 93704(559) 258-0968 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Alfredo Ivan Lopez Np NPPES

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

MR. ALFREDO IVAN LOPEZ NP (NPI 1891553913) is an individual family provider in Fresno, California, licensed in California (95029419) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1891553913
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. ALFREDO IVAN LOPEZCredential: NP
Location Address135 W SHAW AVEFresno, CA 93704-2825
Mailing Address2204 Riesling AveHanford, CA 93230-8133 · (559) 707-9338
Phone(559) 258-0968
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1891553913 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 · 95029419
135 W SHAW AVE, Fresno, CA 93704
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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

Mr. Alfredo Ivan Lopez Np 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 ID2961917448
PECOS Enrollment IDI20250714003369
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 Alfredo Lopez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Innovative Dermatology Alliance Ca
37 mi
Dermatology
5530 AVENIDA DE LOS ROBLES
Visalia, CA 93291
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
NPI 1083188221 (559) 733-5050

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 93704 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 Alfredo Lopez's NPI number?

The NPI number for Alfredo Lopez is 1891553913. It was assigned to this individual provider in the NPPES registry on March 12, 2024.

Where is Alfredo Lopez located?

Alfredo Lopez practices at 135 W Shaw Ave, Fresno, CA 93704. The listed phone number is (559) 258-0968.

What is Alfredo Lopez's specialty?

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

Is Alfredo Lopez enrolled in Medicare?

Yes. Alfredo 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 Alfredo Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfredo Lopez reassigns Medicare benefits to Innovative Dermatology Alliance Ca (Visalia, 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 Alfredo 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 Alfredo Lopez was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.