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MADILIZ LOPEZ FNP
NPI 1962221481
Nurse Practitioner - Family in Kew Gardens, NY

Active since October 10, 2024PECOS Enrolled
11805 METROPOLITAN AVE, KEW GARDENS, NY 11415(347) 238-1550 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2026, Oct 10, 2024 (2 updates tracked since 2024).

About Madiliz Lopez Fnp NPPES

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

MADILIZ LOPEZ FNP (NPI 1962221481) is an individual family provider in Kew Gardens, New York, licensed in New York (F355161-01) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Huntington.

NPPES Registry Identity

NPI1962221481
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADILIZ LOPEZCredential: FNP
Location Address11805 METROPOLITAN AVEKew Gardens, NY 11415-2020
Mailing Address11805 Metropolitan AveKew Gardens, NY 11415-2020 · (347) 238-1550
Phone(347) 238-1550
Sole ProprietorNo
Enumeration DateOctober 10, 2024
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1962221481 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 NY · F355161-01
11805 METROPOLITAN AVE, Kew Gardens, NY 11415
Open in Google Maps ↗

Secondary Practice Location 1

Location 119 Southdown Rd # 2538Huntington, NY 11743-2538 · Phone (631) 470-2572

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madiliz Lopez Fnp 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.

Medicare Billing Reassignments

2

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

Evelyn Llanos MD PC
25 mi
Family Medicine
19 SOUTHDOWN RD, SUITE 16
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 5 clinicians in this Medicare group
NPI 1841319258 (631) 470-2572
Comprehensive Family Medical Care PC
25 mi
Family Medicine
488 E JERICHO TPKE
Huntington Station, NY 11746
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1558899989 (631) 470-2572

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 11415 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
$104.17 typical visit price
range $67.00 – $201.98
Typical copayment $26.04 (range $16.75 – $50.49)
Most-billed visit code 99203
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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

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

ELEVATED PRIMARY CARE
Nurse Practitioner (Family)
11805 METROPOLITAN AVE
KEW GARDENS, NY 11415
Queens County (347) 238-1550

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 Madiliz Lopez's NPI number?

The NPI number for Madiliz Lopez is 1962221481. It was assigned to this individual provider in the NPPES registry on October 10, 2024.

Where is Madiliz Lopez located?

Madiliz Lopez practices at 11805 Metropolitan Ave, Kew Gardens, NY 11415. The listed phone number is (347) 238-1550.

What is Madiliz Lopez's specialty?

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

Is Madiliz Lopez enrolled in Medicare?

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

Which organizations bill Medicare for Madiliz Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madiliz Lopez reassigns Medicare benefits to 2 organizations: Evelyn Llanos MD PC (Huntington, NY) and Comprehensive Family Medical Care PC (Huntington Station, NY). 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 Madiliz 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 Madiliz Lopez was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.