Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kimberly K Lopez

Individual provider Family Nurse Practitioner · NPI 1154876498

Kimberly K Lopez is a Nurse Practitioner in Peoria, Illinois. Qualified in 2016, 10 years ago. Practices with Carle Health Care Incorporated, a 1,543-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
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Practice location Address checks out

5401 N Knoxville Ave Ste 416
Peoria, IL 61614-5098
Phone: (309) 692-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209014626 (IL)

Record details

NPI number1154876498
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 16, 2016
Last updated in NPPESAugust 16, 2016
Mailing address5401 N Knoxville Ave, Suite 416, Peoria, IL 61614-5098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Carle Health Care Incorporated — 1543 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Peoria