NPIMap

Individual provider Active NPI

Noelle Angela Burton, PA

  • Physician Assistant
  • Roseville, CA
National Provider Identifier
1083091326
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA52409 Issued in CA
Practice address
1013 Galleria Blvd Ste 205
Roseville, CA 95678-1363
Phone
(916) 918-2952
Fax
(916) 918-2953
NPI assigned
May 6, 2015
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA52409 CA Primary

Addresses

Primary practice location

1013 Galleria Blvd Ste 205
Roseville, CA 95678-1363

Mailing address

1013 Galleria Blvd Ste 205
Roseville, CA 95678-1363
Phone (916) 918-2952

Other names 1

  • Noelle Angela Menesini Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150727000289 CA Practitioner - Physician Assistant 7214240894 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sierra Medical PartnershipGroup PAC ID 7810321858, 18 clinicians

Practice addresses (Care Compare)

1625 Creekside Dr
Folsom, CA 95630-3819
Phone (916) 365-9590

275 Grass Valley Hwy
Auburn, CA 95603-4533
Phone (530) 885-0344

584 N Sunrise Ave
Roseville, CA 95661-2862
Phone (916) 250-2596

8105 Saratoga Way
Suite 110
El Dorado Hills, CA 95762-4590
Phone (916) 250-2596

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA52409CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Medical Partnership CurrentSince May 19, 2024 Accepting new patients
Sierra Medical Partnership CurrentSince May 19, 2024 Accepting new patients
Healthy Living Primary Care, Inc PastSince Feb 6, 2017 Accepting new patients

Locations

275 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 885-0344

1580 Creekside Dr
Ste 130
Folsom, CA 95630
Phone (916) 542-1458

584 N Sunrise Ave
Ste 140
Roseville, CA 95661
Phone (916) 250-2596

Interoperability endpoints

  • Direct secure messaging: nmenesini346002@hisp.ehr.sutterhealth.org
  • Direct secure messaging: noelle.burton.1@21842.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1083091326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 GALLERIA BLVD STE 205",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781363",
            "telephone_number": "916-918-2952",
            "fax_number": "916-918-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 GALLERIA BLVD STE 205",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956781363",
            "telephone_number": "916-918-2952",
            "fax_number": "916-918-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "NOELLE",
        "middle_name": "ANGELA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOELLE",
            "last_name": "MENESINI",
            "middle_name": "ANGELA",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.