Individual provider · Type 1 NPI

Misty Renee Lopez, PA-C

Physician Assistant · Springfield, MO

NPI number 1164513883 Active

Practice location

2052 W Buena Vista St
Springfield, MO 65810-1511

Mailing address

PO Box 802843
Kansas City, MO 64180-2843

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2005015559 (MO)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1164513883

Misty Renee Lopez, PA-C's National Provider Identifier is 1164513883, issued on Sep 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Springfield, MO. The record was last updated on Feb 10, 2026.