Individual provider Active NPI

Graciela Lopez, NP

  • Family Nurse Practitioner
  • Springdale, AR
National Provider Identifier
1720823958
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
120468 Issued in AR
Practice address
420 N West End St
Springdale, AR 72764-3002
Phone
(479) 872-3050
Fax
(479) 751-2878
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 120468 AR Primary

Addresses

Primary practice location

420 N West End St
Springdale, AR 72764-3002

Mailing address

1222 S 4TH St
Rogers, AR 72756-5420
Phone (479) 657-5222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240725002152 AR Practitioner - Nurse Practitioner 3173069291 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
Group practices
St. Francis House Nwa, Inc.Group PAC ID 0042262495, 67 clinicians

Practice addresses (Care Compare)

420 N W End St
Elmdale School Based Health Center
Springdale, AR 72764-3002
Phone (479) 872-3050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
120468ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis House Nwa, Inc CurrentSince Jul 8, 2024 Accepting new patients
St Francis House Nwa, Inc CurrentSince Jul 8, 2024 Accepting new patients
St. Francis House Nwa, Inc. Past Accepting new patients

Locations

614 E Emma Ave
Ste 300
Springdale, AR 72764
Phone (479) 751-4898

420 N West End St
Springdale, AR 72764
Phone (479) 750-8859

2811 W Huntsville Ave
Ste 1016
Springdale, AR 72762
Phone (479) 334-4657

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1720823958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S 4TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727565420",
            "telephone_number": "479-657-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N WEST END ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727643002",
            "telephone_number": "479-872-3050",
            "fax_number": "479-751-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "GRACIELA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "120468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

Verify at the official NPI Registry.