BROOKE ELIZABETH LOPEZ MMS, PA-C
NPI 1912549379
Physician Assistant - Medical in Highland, UT

Active since October 16, 2019PECOS Enrolled
10290 N NORTH COUNTY BLVD STE 200, HIGHLAND, UT 84003(801) 899-3391 Get Directions Write a Review

NPPES record last updated: December 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2021, Oct 16, 2019 (2 updates tracked since 2019).

About Brooke Elizabeth Lopez Mms, Pa-c NPPES

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

BROOKE ELIZABETH LOPEZ MMS, PA-C (NPI 1912549379) is an individual medical provider in Highland, Utah, licensed in Utah (12304844-1206) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912549379
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBROOKE ELIZABETH LOPEZCredential: MMS, PA-C
Location Address10290 N NORTH COUNTY BLVD STE 200Highland, UT 84003-8973
Mailing Address10290 N North County Blvd Ste 200Highland, UT 84003-8973 · (801) 899-3391
Sole ProprietorYes
Enumeration DateOctober 16, 2019
Last NPPES UpdateDecember 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 8, 2021
NPI 1912549379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 12304844-1206
10290 N NORTH COUNTY BLVD STE 200, Highland, UT 84003

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Brooke Elizabeth Lopez Mms, Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

Family Medicine
10290 N NORTH COUNTY BLVD STE 200
HIGHLAND, UT 84003
Family Medicine
10290 N NORTH COUNTY BLVD STE 200
HIGHLAND, UT 84003

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 Brooke Lopez's NPI number?

The NPI number for Brooke Lopez is 1912549379. It was assigned to this individual provider in the NPPES registry on October 16, 2019.

Where is Brooke Lopez located?

Brooke Lopez practices at 10290 N North County Blvd Ste 200, Highland, UT 84003. The listed phone number is (801) 899-3391.

What is Brooke Lopez's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brooke Lopez enrolled in Medicare?

Yes. Brooke Lopez is registered in the Medicare PECOS enrollment system.

What insurance does Brooke Lopez accept?

Health plans from Imperial Health Plan of the Southwest, Inc. and Select Health list Brooke 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.

When was this NPI record last updated?

The NPPES record for Brooke Lopez was last updated on December 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.