Individual provider Active NPI

Jessica Elise Lopez, FNP-C

  • Family Nurse Practitioner
  • Tucson, AZ
National Provider Identifier
1164268777
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
312191 Issued in AZ
Practice address
5880 N la Cholla Blvd Ste 180
Tucson, AZ 85741-3592
Phone
(520) 751-3695
NPI assigned
Jul 2, 2024
Last updated
Jan 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 312191 AZ Primary

Addresses

Primary practice location

5880 N la Cholla Blvd Ste 180
Tucson, AZ 85741-3592

Mailing address

5880 N la Cholla Blvd Ste 180
Tucson, AZ 85741-3592

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112004138 AZ Practitioner - Nurse Practitioner 7719411826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Urgent Care LLCGroup PAC ID 9830506062, 70 clinicians
Arizona Community Physicians PCGroup PAC ID 4587560552, 162 clinicians

Practice addresses (Care Compare)

3870 W River Rd
Suite 126
Tucson, AZ 85741-3080
Phone (520) 219-6616

5880 N Lacholla
Suite 180
Tucson, AZ 85741-3592
Phone (520) 751-3675

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Community Physicians PC Family Medicine CurrentSince Sep 9, 2024 Accepting new patients
Northwest Urgent Care LLC CurrentSince Oct 1, 2025 Accepting new patients
Arizona Community Physician PC CurrentSince Sep 9, 2024 Accepting new patients

Locations

1040 S Harrison Rd
Ste 120
Tucson, AZ 85748
Phone (520) 777-7025

10568 N Oracle Rd
Ste 110
Tucson, AZ 85737
Phone (520) 543-6960

2055 W Hospital Dr
Tucson, AZ 85704
Phone (520) 547-5725

3870 W River Rd
Ste 126
Tucson, AZ 85741
Phone (520) 209-7000

5055 E Broadway Blvd
Ste A100
Tucson, AZ 85711
Phone (520) 327-0460

5880 N La Cholla Blvd
Ste 180
Tucson, AZ 85741
Phone (520) 751-3695

Interoperability endpoints

  • Direct secure messaging: jessica.lopez.1@1576.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1164268777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 N LA CHOLLA BLVD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 N LA CHOLLA BLVD STE 180",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857413592",
            "telephone_number": "520-751-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "JESSICA",
        "middle_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "312191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.