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

MS. Kacey Rae Lopez, PA

Individual provider Surgical Physician Assistant · NPI 1164892204

MS. Kacey Rae Lopez, PA is a Physician Assistant in Lafayette, Louisiana. Graduated from Louisiana State University School of Medicine in Shreveport in 2015, 11 years ago. Practices with Lourdes Physician Group LLC, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
11
Trained at
Louisiana State University School of Medicine in Shreveport
Licensed in
LA
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-3983
Phone: (337) 470-2605
Fax: (337) 470-4595
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3311 Prescott Rd Ste 202, Alexandria, LA 71301-3983 — (318) 442-0106

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 300080 (LA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 300080 (LA)

Record details

NPI number1164892204
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 1, 2015
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduated 2015 (11 years in practice)
Group practice Lourdes Physician Group Llc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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