Individual provider Active NPI

George Michael Lopez, APRN

  • Family Nurse Practitioner
  • Falcon, CO
National Provider Identifier
1669086633
Registry record updated Feb 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0999310-NP Issued in CO
Practice address
11605 Meridian Market VW Ste 184
Falcon, CO 80831-8238
Phone
(719) 364-9560
Fax
(719) 364-7680
NPI assigned
Sep 7, 2020
Last updated
Feb 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0003667-C-NP CO
Family Nurse Practitioner 363LF0000X 28216042A IN
Family Nurse Practitioner 363LF0000X 71010392A IN
Family Nurse Practitioner 363LF0000X APN.0999310-NP CO Primary
Emergency Registered Nurse 163WE0003X 28216024A IN

Addresses

Primary practice location

11605 Meridian Market VW Ste 184
Falcon, CO 80831-8238

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-2417

Other practice location 1

5350 E Thompson Rd
Indianapolis, IN 46237-2059
Phone (317) 396-0814

Other practice location 2

4323 Integrity Center Pt
Colorado Springs, CO 80917-1683
Phone (719) 591-2558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20220916000498 CO Practitioner - Nurse Practitioner 5193144426 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

4323 Integrity Ctr PT
Colorado Springs, CO 80917-1683
Phone (719) 591-2558

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28216024AINMDEmergency Registered Nurse
APN.0999310-NPCOMDFamily Nurse Practitioner
28216042AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Jan 22, 2024 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Jan 22, 2024 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Oct 1, 2022 Accepting new patients
Little Clinic of in LLC Family CurrentSince Sep 30, 2020 Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

1035 Garden of the Gods Rd
Ste 120
Colorado Springs, CO 80907
Phone (719) 329-1000

1035 Garden of the Gods Rd
Ste 120UCHMG
Colorado Springs, CO 80907
Phone (719) 329-1000

1070 W Baptist Rd
Colorado Springs, CO 80921
Phone (719) 487-6050

13445 Voyager Pkwy
Colorado Springs, CO 80921
Phone (719) 219-0333

2767 Janitell Rd
Colorado Springs, CO 80906
Phone (719) 365-2888

2999 New Center Pt
Colorado Springs, CO 80922
Phone (719) 364-6940

4323 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 591-2558

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2403

11605 Meridian Market Vw
Ste 184
Peyton, CO 80831
Phone (719) 364-9555

815 Highlander Point Dr
Floyds Knobs, IN 47119
Phone (812) 923-7146

5350 E Thompson Rd
Indianapolis, IN 46237
Phone (317) 396-0814

8745 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 807-0409

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Interoperability endpoints

  • Direct secure messaging: george.lopez@krogerhealth.eclinicaldirectplus.com

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1669086633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-2417",
            "fax_number": "970-490-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11605 MERIDIAN MARKET VW STE 184",
            "city": "FALCON",
            "state": "CO",
            "postal_code": "808318238",
            "telephone_number": "719-364-9560",
            "fax_number": "719-364-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 E Thompson Rd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462372059",
            "country_code": "US",
            "telephone_number": "317-396-0814",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4323 Integrity Center Pt",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809171683",
            "country_code": "US",
            "telephone_number": "719-591-2558",
            "fax_number": "719-591-2596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GEORGE",
        "middle_name": "MICHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-07",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0003667-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28216042A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010392A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0999310-NP",
            "primary": true
        },
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IN",
            "license": "28216024A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falcon, CO

Sources for this page

Verify at the official NPI Registry.