Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Misty Renee Lopez, PA-C

Individual provider Physician Assistant · NPI 1164513883

Misty Renee Lopez, PA-C is a Physician Assistant in Springfield, Missouri. Qualified in 2004, 22 years ago. Practices with Advocates for a Healthy Community Inc, a 56-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
22
Licensed in
MO
In the registry since
2006
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

2052 W Buena Vista St
Springfield, MO 65810-1511
Phone: (417) 315-4911
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2005015559 (MO)

Record details

NPI number1164513883
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2006
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Advocates For A Healthy Community Inc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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