MRS. MICHELLE MARGOTTA LOPEZ
NPI 1952185969
Nurse Practitioner - Family in Holmdel, NJ

Active since August 21, 2023PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Michelle Margotta Lopez NPPES

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

MRS. MICHELLE MARGOTTA LOPEZ (NPI 1952185969) is an individual family provider in Holmdel, New Jersey, licensed in New Jersey (26NJ14903000) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1952185969
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MICHELLE MARGOTTA LOPEZ
Location Address23 MAIN STHolmdel, NJ 07733-2136
Mailing Address79 Diven StSpringfield, NJ 07081-2801 · (908) 265-0355
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1952185969 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 NJ · 26NJ14903000
23 MAIN ST, Holmdel, NJ 07733

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 Margotta Lopez 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 ID6608226543
PECOS Enrollment IDI20231219001634
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 Reassignments

2

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

Internal Medicine
3600 STATE ROUTE 66 FL 4
Neptune, NJ 07753
  • Reassigned Medicare billing, New Jersey enrollment
  • 64 clinicians in this Medicare group
Pain Medicine
695 CHESTNUT STREET
Union, NJ 07083
  • Reassigned Medicare billing, New Jersey enrollment
  • 34 clinicians in this Medicare group

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
239 services71 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
23 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07733 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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 2

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

Internal Medicine (Hospice and Palliative Medicine)
23 MAIN ST, STE D1
HOLMDEL, NJ 07733
Nurse Practitioner (Family)
23 MAIN ST
HOLMDEL, NJ 07733

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 1952185969. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Michelle Lopez located?

Michelle Lopez practices at 23 Main St, Holmdel, NJ 07733. The listed phone number is (732) 571-1000.

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 organizations bill Medicare for Michelle Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Lopez reassigns Medicare benefits to 2 organizations: Vps Medical Services, PC (Neptune, NJ) and Union Anesthesia Associates, PA (Union, NJ). 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 Michelle 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 Michelle Lopez was last updated on August 21, 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.