Individual provider Active NPI

Monica G. Lopez

  • Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1598397317
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
237654 Issued in AZ
Practice address
11703 S Chaparral Dr
Yuma, AZ 85365-8362
Phone
(928) 920-5451
NPI assigned
Feb 10, 2020
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 237654 AZ Primary

Addresses

Primary practice location

11703 S Chaparral Dr
Yuma, AZ 85365-8362

Mailing address

11703 S Chaparral Dr
Yuma, AZ 85365-8362
Phone (928) 920-5451

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
I20200323002895 AZ Practitioner - Nurse Practitioner 0446688568 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11551 S Fortuna Rd
Suite a
Yuma, AZ 85367-7858
Phone (928) 247-9333

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Foot & Nail Care LLC CurrentSince Jan 23, 2024 Accepting new patients
Quadra Medical LLC Nurse Practitioner CurrentSince May 5, 2026 Accepting new patients
Adobe Provider Group Nurse Practitioner CurrentSince Mar 21, 2022 Accepting new patients
Stephen a. Wallace, M.D., P.C. Past Accepting new patients

Locations

7500 N Dreamy Draw Dr
Ste 100B
Phoenix, AZ 85020
Phone (520) 233-7111

11551 S Fortuna Rd
Ste A
Yuma, AZ 85367
Phone (928) 247-9333

11611 S Foothills Blvd
Ste A
Yuma, AZ 85367
Phone (928) 247-9333

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1598397317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11703 S CHAPARRAL DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853658362",
            "telephone_number": "928-920-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11703 S CHAPARRAL DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853658362",
            "telephone_number": "928-920-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MONICA",
        "middle_name": "G.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "237654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.