Nicole R Lopez, is a
Nurse Practitioner - Family based in Braidwood, Illinois. Nicole R Lopez is licensed to practice in Illinois (license number 209.035840) and her current practice location is
389 E Main St, Braidwood, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 458-2532.
NPI number for Nicole R Lopez is 1215856695 and her current mailing address is 725 School St Ste A, Morris, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215856695.
Provider's Profile
| Full Name | Nicole R Lopez |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 389 E Main St, Braidwood, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215856695
- Provider Enumeration Date: 07/10/2026
- Last Update Date: 08/12/2026
Medical Identifiers
Medical identifiers for Nicole R Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1215856695 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209.035840 (Illinois) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | 209.035840 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole R Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nicole R Lopez, 725 School St Ste A, Morris, IL 60450-1207 Ph: Not Available | Nicole R Lopez, 389 E Main St, Braidwood, IL 60408-2010 Ph: (815) 458-2532 |
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