Individual provider Active NPI

Ann Louise Nolen, D.O.

  • Family Medicine Physician
  • Georgetown, TX
National Provider Identifier
1144313982
Registry record updated Jun 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G1494 Issued in TX
Practice address
7600 Highway 29 W
Suite 5
Georgetown, TX 78628-6937
Phone
(512) 930-0363
Fax
(512) 930-0371
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G1494 TX Primary
Emergency Medicine Physician 207P00000X G1494 TX

Addresses

Primary practice location

7600 Highway 29 W
Suite 5
Georgetown, TX 78628-6937

Mailing address

PO Box 2297
Georgetown, TX 78627-2297
Phone (512) 930-0363

Other identifiers 5

IdentifierTypeStateIssuer
P00451852OtherTXPTAN MEDICARE RR
8R9970OtherTXBCBS
DG7386OtherTXRAILROAD MEDICARE
G1494OtherTXLICENSE
0051MNOtherTXBCBS

Other names 1

  • Ann Hughes Former name

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
I20040722000941 TX Practitioner - Family Practice 2062492705 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G1494TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health and Human Services Commission Current Accepting new patients
Health and Human Services Commission CurrentSince Sep 1, 2017 Accepting new patients
Ann L. Nolen PA Family Medicine PastSince Jan 17, 2005 Accepting new patients

Locations

2501 Maple St
Abilene, TX 79602
Phone (325) 692-4053

4001 Highway 36 S
Brenham, TX 77833
Phone (979) 277-1327

3980 State School Rd
Denton, TX 76210
Phone (940) 591-3341

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244160000000",
    "number": "1144313982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2297",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786272297",
            "telephone_number": "512-930-0363",
            "fax_number": "512-930-0371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 HIGHWAY 29 W",
            "address_2": "SUITE 5",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786286937",
            "telephone_number": "512-930-0363",
            "fax_number": "512-930-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "ANN",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G1494",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "G1494",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN MEDICARE RR",
            "identifier": "P00451852",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8R9970",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG7386",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "G1494",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0051MN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANN",
            "last_name": "HUGHES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.