Individual provider Active NPI

Beena V. Lopez, FNP-BC

  • Family Nurse Practitioner
  • South Elgin, IL
National Provider Identifier
1720606429
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277003154 Issued in IL
Practice address
255 N McLean Blvd
South Elgin, IL 60177-1800
Phone
(866) 389-2727
NPI assigned
Jul 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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 277003154 IL Primary

Addresses

Primary practice location

255 N McLean Blvd
South Elgin, IL 60177-1800

Mailing address

255 N McLean Blvd
South Elgin, IL 60177-1800
Phone (847) 695-7193

Other practice location 1

296 Woodside Dr
West Chicago, IL 60185-5041
Phone (630) 362-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20211210001853 IL Practitioner - Nurse Practitioner 2668862384 Reassigns benefits to 3 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
Minuteclinic Diagnostic of Illinois PLLCGroup PAC ID 8729171566, 106 clinicians
Minuteclinic Primary Care Illinois PLLCGroup PAC ID 7416471842, 102 clinicians

Practice addresses (Care Compare)

11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727

255 N McLean Blvd
South Elgin, IL 60177-1800
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277003154ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care North, LLC Family CurrentSince Jan 31, 2023 Accepting new patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Oct 28, 2021 Accepting new patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients

Locations

300 N Eola Rd
Aurora, IL 60502
Phone (630) 978-2380

1099 W Army Trail Rd
Bartlett, IL 60103
Phone (630) 372-3120

1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839

11200 Lincoln Hwy
Mokena, IL 60448
Phone (815) 464-2171

936 Willow Rd
Northbrook, IL 60062
Phone (847) 209-3814

2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450

255 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-7193

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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": "1594252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1720606429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 N MCLEAN BLVD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771800",
            "telephone_number": "847-695-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 N MCLEAN BLVD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771800",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "296 WOODSIDE DR",
            "address_purpose": "LOCATION",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601855041",
            "country_code": "US",
            "telephone_number": "630-362-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "BEENA",
        "middle_name": "V.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-09",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

Verify at the official NPI Registry.