Individual provider Active NPI

Mariela Rachil Lopez, FNP-BC

  • Family Nurse Practitioner
  • Duncanville, TX
National Provider Identifier
1609751775
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1130523 Issued in TX
Practice address
1014 E Wheatland Rd Ste a
Duncanville, TX 75116-4914
Phone
(214) 550-2330
NPI assigned
Aug 7, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 1130523 TX Primary

Addresses

Primary practice location

1014 E Wheatland Rd Ste a
Duncanville, TX 75116-4914

Mailing address

1014 E Wheatland Rd Ste a
Duncanville, TX 75116-4914
Phone (214) 550-2330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251029000222 TX Practitioner - Nurse Practitioner 0143719369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4906 Chenevert St
Houston, TX 77004-5911

PO Box
Dallas, TX 75373

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1130523TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Waterstone Wellness, PLLC CurrentSince Sep 15, 2025 Accepting new patients

Locations

1251 E Red Bird Ln
Ste A
Dallas, TX 75241
Phone (214) 374-0827

1014 E Wheatland Rd
Ste A
Duncanville, TX 75116
Phone (214) 550-2330

255 W Lebanon
Ste 116
Frisco, TX 75036
Phone (469) 405-0500

7505 Glenview Dr
Ste 151
Richland Hills, TX 76180
Phone (817) 284-9122

Organizations & group practices 1

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": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1609751775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 E WHEATLAND RD STE A",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164914",
            "telephone_number": "214-550-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 E WHEATLAND RD STE A",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164914",
            "telephone_number": "214-550-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "MARIELA",
        "middle_name": "RACHIL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1130523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncanville, TX

Sources for this page

Verify at the official NPI Registry.