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

Mr. Miguel Ernesto Lopez, FNP-C

Individual provider Family Nurse Practitioner · NPI 1982445383

Mr. Miguel Ernesto Lopez, FNP-C is a Nurse Practitioner in Phoenix, Arizona. Qualified in 2024, 2 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3433 W Sierra Vista Dr
Phoenix, AZ 85017-1446
Phone: (520) 548-8050
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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 308950 (AZ)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence RN154332 (AZ)

Record details

NPI number1982445383
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedJune 3, 2024
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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