Individual provider Active NPI

Jane Nokleberg, M.D.

  • Obstetrics & Gynecology Physician
  • Dallas, TX
National Provider Identifier
1114963675
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
K2974 Issued in TX
Practice address
8305 Walnut Hill LN
Suite 100
Dallas, TX 75231-4217
Phone
(214) 363-7801
Fax
(214) 635-3410
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X K2974 TX Primary

Addresses

Primary practice location

8305 Walnut Hill LN
Suite 100
Dallas, TX 75231-4217

Mailing address

8305 Walnut Hill LN
Suite 100
Dallas, TX 75231-4217
Phone (214) 363-7801

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120220000313 TX Practitioner - Obstetrics/Gynecology 2567516966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
R Franklin University of Med & Sci/Chicago Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Walnut Hill Obstetrics and Gynecology AssociatesGroup PAC ID 5799816427, 9 clinicians

Practice addresses (Care Compare)

8305 Walnut Hill LN
Suite 100
Dallas, TX 75231-4259
Phone (214) 363-7801

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Dallas Hospital, Dallas, TX, CCN 450462

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Walnut Hill Obstetrics & Gynecology Associates Obstetrics & Gynecology CurrentSince Jul 1, 1999 Accepting new patients

Locations

8305 Walnut Hill Ln
Ste 200
Dallas, TX 75231
Phone (214) 368-3232

8305 Walnut Hill Ln
Ste 100
Dallas, TX 75231
Phone (214) 363-7801

Interoperability endpoints

  • Direct secure messaging: jane.nokleberg.1@16194.direct.athenahealth.com

Organizations & group practices 1

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

Hospital & facility affiliations 1

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303344000000",
    "number": "1114963675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8305 WALNUT HILL LN",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314217",
            "telephone_number": "214-363-7801",
            "fax_number": "214-635-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8305 WALNUT HILL LN",
            "address_2": "SUITE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314217",
            "telephone_number": "214-363-7801",
            "fax_number": "214-635-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOKLEBERG",
        "first_name": "JANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "K2974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.