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

Micaila Lopez, PA-C

Individual provider Surgical Physician Assistant · NPI 1043028335

Micaila Lopez, PA-C is a Physician Assistant in Overland Park, Kansas. Qualified in 2024, 2 years ago. Licensed in Kansas and Missouri.

Years since qualifying
2
Licensed in
KS, MO
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10777 Nall Ave Ste 300
Overland Park, KS 66211-1330
Phone: (913) 642-0200
Fax: (913) 563-6699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 15-03052 (KS)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 2025010280 (MO)

Record details

NPI number1043028335
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 19, 2024
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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