Suly Aime Lopez, NP - Medicare Nurse Practitioner in Fountain Hills, AZ

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Suly Aime Lopez, NP is a medicare enrolled "Nurse Practitioner - Family" in Fountain Hills, Arizona. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Honorhealth Urgent Care, Llc, Banner Urgent Care Services Llc and her current practice location is 16716 E Palisades Blvd Ste 101b, Fountain Hills, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 587-5738.

Suly Aime Lopez is licensed to practice in Arizona (license number 307652) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811666795.

Contact Information

Suly Aime Lopez, NP
16716 E Palisades Blvd Ste 101b,
Fountain Hills, AZ 85268-3846
(480) 587-5738
Not Available

Map and Direction




Provider's Profile

Full NameSuly Aime Lopez
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location16716 E Palisades Blvd Ste 101b, Fountain Hills, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Suly Aime Lopez graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1811666795
  • Provider Enumeration Date: 09/13/2021
  • Last Update Date: 04/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2961892815
  • Enrollment ID: I20240718000192

Medical Identifiers

Medical identifiers for Suly Aime Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811666795NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 202108976NP-PP (Oregon)Secondary
363LF0000XNurse Practitioner - Family 307652 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Honorhealth Urgent Care, Llc0345130266105
Banner Urgent Care Services Llc4284921610197

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Suly Aime Lopez allows following entities to bill medicare on her behalf.
Entity NameBanner Urgent Care Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316349855
PECOS PAC ID: 3678749496
Enrollment ID: O20111228000784
Entity NameBanner Urgent Care Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609229764
PECOS PAC ID: 4284921610
Enrollment ID: O20160928001188

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. Suly Aime Lopez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Suly Aime Lopez, NP
16716 E Palisades Blvd Ste 101b,
Fountain Hills, AZ 85268-3846

Ph: (541) 272-2333		Suly Aime Lopez, NP
16716 E Palisades Blvd Ste 101b,
Fountain Hills, AZ 85268-3846

Ph: (480) 587-5738

Reviews and Comments


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Anne Burriss, MSN, APRN, FNP-C
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Dr. Oluchi L Ezeume, DNP, AGNP-C
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Miss Mary Elizabeth Tyndall, APRN
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Phone: 888-508-6194    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.