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KYLIE MARIE LOPEZ ACNP
NPI 1992522452
Nurse Practitioner - Acute Care in Glendale, AZ

Active since September 25, 2024PECOS EnrolledAccepts Medicare Assignment
5555 W THUNDERBIRD RD, GLENDALE, AZ 85306(608) 865-5555 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kylie Marie Lopez Acnp NPPES

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

KYLIE MARIE LOPEZ ACNP (NPI 1992522452) is an individual acute care provider in Glendale, Arizona, licensed in Arizona (228687) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1992522452
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKYLIE MARIE LOPEZCredential: ACNP
Location Address5555 W THUNDERBIRD RDGlendale, AZ 85306-4622
Mailing Address21204 W Berkeley RdBuckeye, AZ 85396-2405 · (623) 313-8006
Phone(608) 865-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 25, 2024
NPPES CertifiedSeptember 24, 2024
✔ NPI 1992522452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in AZ · 228687
5555 W THUNDERBIRD RD, Glendale, AZ 85306
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Kylie Marie Lopez Acnp 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 ID5496288664
PECOS Enrollment IDI20241025002438
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 Kylie Lopez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Physician Specialists Arizona LLC
11 mi
Multi-Specialty
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 538 clinicians in this Medicare group
NPI 1033730429 (602) 747-4000
Banner Hospital Based Physicians Arizona LLC
31 mi
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1124374822 (480) 543-2034

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 85306 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

DR. DAVID CONNOR M.D.
Emergency Medicine
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Maricopa County (602) 588-5555
KURT FARR DICKSON MD
Personal Emergency Response Attendant
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Maricopa County (602) 588-5501
DR. JOSEPH PATRICK LOZON M.D.
Emergency Medicine
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Maricopa County (602) 588-5555
ARYA JOHN NIKAMAL D.O.
Internal Medicine (Critical Care Medicine)
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Maricopa County (602) 865-5555
DR. ABHINAV P PATEL MD
Radiology (Diagnostic Radiology)
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Maricopa County (602) 865-5555
DR. RICHARD N EISEN M.D
Pathology (Anatomic Pathology)
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Maricopa County (602) 685-5211
CRISTI PATRICK IANCU RN
Registered Nurse
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Maricopa County (602) 865-5555
DR. NEIL MODY MD
Hospitalist
5555 W THUNDERBIRD RD
GLENDALE, AZ 85306
Maricopa County (602) 787-3410

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 Kylie Lopez's NPI number?

The NPI number for Kylie Lopez is 1992522452. It was assigned to this individual provider in the NPPES registry on September 25, 2024.

Where is Kylie Lopez located?

Kylie Lopez practices at 5555 W Thunderbird Rd, Glendale, AZ 85306. The listed phone number is (608) 865-5555.

What is Kylie Lopez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kylie Lopez enrolled in Medicare?

Yes. Kylie 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 Kylie Lopez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kylie Lopez reassigns Medicare benefits to 2 organizations: Banner Physician Specialists Arizona LLC (Phoenix, AZ) and Banner Hospital Based Physicians Arizona LLC (Gilbert, 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 Kylie Lopez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kylie Lopez accept?

Health plans from Blue Cross Blue Shield of Arizona list Kylie 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 Kylie Lopez was last updated on September 25, 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.