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MONICA C LOPEZ FPA-APRN
NPI 1952784605
Nurse Practitioner - Family in Chicago, IL

Active since June 30, 2015PECOS EnrolledAccepts Medicare Assignment
77.4/100
CMS Quality Rating
4840 W BYRON ST, CHICAGO, IL 60641(773) 282-7800 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 3, 2025, May 30, 2023, Mar 7, 2023 and 6 more (9 updates tracked since 2016).

About Monica C Lopez Fpa-aprn NPPES

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

MONICA C LOPEZ FPA-APRN (NPI 1952784605) is an individual family provider in Chicago, Illinois, licensed in Illinois (277.003682) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Palos Community Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1952784605
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMONICA C LOPEZCredential: FPA-APRN
Location Address4840 W BYRON STChicago, IL 60641-2712
Mailing Address4840 W Byron StChicago, IL 60641-2712 · (773) 282-8000
Phone(773) 282-7800
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 30, 2015
Last NPPES UpdateFebruary 3, 20259 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2025
✔ NPI 1952784605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 277.003682
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 277.003682 (IL)
4840 W BYRON ST, Chicago, IL 60641
Open in Google Maps ↗

Other Identifiers 1

Medicaid1104658038IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Blue Cross Blue Shield of Arizona.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

Monica C Lopez Fpa-aprn 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 ID8426360264
PECOS Enrollment IDI20150707002898, I20180710003610
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

4

Medicare enrollment records show Monica Lopez reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cmc Healthcare LLC
6.1 mi
Nurse Practitioner
2201 MAIN ST
Evanston, IL 60202
  • Reassigned Medicare billing, Illinois enrollment
  • 191 clinicians in this Medicare group
NPI 1295432334 (773) 831-5021
Friend Family Health Center Inc
11 mi
Federally Qualified Health Center (FQHC)
4802 S ASHLAND AVE
Chicago, IL 60609
  • Reassigned Medicare billing, Illinois enrollment
  • 132 clinicians in this Medicare group
NPI 1891921623 (773) 376-9400
Maria Lentzou MD Sc
19 mi
Internal Medicine
12050 S HARLEM AVE, SUITE A
Palos Heights, IL 60463
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1316144249 (708) 671-1500
American Family Medicine LLC
1,448 mi
Pediatrics
5501 N 19TH AVE STE 218
Phoenix, AZ 85015
  • Reassigned Medicare billing, Arizona enrollment
  • 20 clinicians in this Medicare group
NPI 1164287124 (602) 413-0431

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

Hospital Affiliations CMS Care Compare 2

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

Palos Community Hospital

Acute Care Hospitals · Palos Heights, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140062
Location12251 South 80th AvenuePalos Heights, IL 60463 · Cook County
Emergency services Birthing friendly

Advocate Christ Hospital & Medical Center

Acute Care Hospitals · Oak Lawn, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140208
Location4440 W 95th StreetOak Lawn, IL 60453 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60641 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

77.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.24
Improvement Activities40
Cost59.06

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.

YEXENIA MARIE GALINDO
Social Worker (Clinical)
4840 W BYRON ST
CHICAGO, IL 60641
Cook County (773) 544-0228
MS. MARGARET ANDREWS LCSW
Social Worker (Clinical)
4840 W BYRON ST
CHICAGO, IL 60641
Cook County (773) 282-7800
MRS. MARISELLA MORRIS LCSW
Social Worker (Clinical)
4840 W BYRON ST
CHICAGO, IL 60641
Cook County (773) 297-0252
MS. LYNNE A. KAVIN LCSW
Social Worker (Clinical)
4840 W BYRON ST
CHICAGO, IL 60641
Cook County (773) 282-7347
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Clinic/Center (Mental Health (Including Community Mental Health Center))
4840 W BYRON ST
CHICAGO, IL 60641
Cook County (773) 282-7800
MS. JENNA ROSE MORREALE MA, LCPC
Counselor (Mental Health)
4840 W BYRON ST
CHICAGO, IL 60641
Cook County (773) 282-7800
MRS. JACLYN BOBINSKI LCPC
Counselor (Professional)
4840 W BYRON ST
CHICAGO, IL 60641
Cook County (773) 573-2834
LUTHERAN SOCIAL SERVICES OF ILLINOIS
Clinic/Center (Community Health)
4840 W BYRON ST
CHICAGO, IL 60641
Cook County (773) 282-7800

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 Monica Lopez's NPI number?

The NPI number for Monica Lopez is 1952784605. It was assigned to this individual provider in the NPPES registry on June 30, 2015.

Where is Monica Lopez located?

Monica Lopez practices at 4840 W Byron St, Chicago, IL 60641. The listed phone number is (773) 282-7800.

What is Monica Lopez's specialty?

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

Is Monica Lopez enrolled in Medicare?

Yes. Monica 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 Monica Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Monica Lopez reassigns Medicare benefits to 4 organizations: Cmc Healthcare LLC (Evanston, IL), Friend Family Health Center Inc (Chicago, IL), Maria Lentzou MD Sc (Palos Heights, IL) and American Family Medicine LLC (Phoenix, AZ). 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 Monica Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Monica Lopez accept?

Health plans from Ambetter Health and Blue Cross Blue Shield of Arizona list Monica 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 Monica Lopez affiliated with any hospitals?

According to CMS data, Monica Lopez is affiliated with Palos Community Hospital and Advocate Christ Hospital & Medical Center.

When was this NPI record last updated?

The NPPES record for Monica Lopez was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.