Individual provider Active NPI

Noelle Estante, FNP-C

  • Family Nurse Practitioner
  • Grapevine, TX
National Provider Identifier
1194430611
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1089536 Issued in TX
Practice address
2260 Pool Rd
Grapevine, TX 76051-4278
Phone
(817) 481-6342
Fax
(817) 416-7475
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1089536 TX Primary

Addresses

Primary practice location

2260 Pool Rd
Grapevine, TX 76051-4278

Mailing address

2260 Pool Rd
Grapevine, TX 76051-4278
Phone (817) 481-6342

Other practice location 1

13150 Senlac Dr Ste 160
Farmers Branch, TX 75234-1241
Phone (414) 254-1862

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250811004029 TX Practitioner - Nurse Practitioner 3173021987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians

Practice addresses (Care Compare)

1600 S Henderson Blvd
Kilgore, TX 75662-3518
Phone (903) 758-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1089536TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Management Specialists, LLC CurrentSince Jul 15, 2025 Accepting new patients
Healthcare Plus Limited Liability Company CurrentSince Nov 17, 2025 Accepting new patients

Locations

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

434 Katherine Dr
Flowood, MS 39232
Phone (769) 216-3346

1600 S Henderson Blvd
Kilgore, TX 75662
Phone (903) 215-3149

515 N 3rd St
Longview, TX 75601
Phone (903) 215-3149

2901 4th St
Longview, TX 75605
Phone (281) 371-1800

Organizations & group practices 2

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": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1194430611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 POOL RD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514278",
            "telephone_number": "817-481-6342",
            "fax_number": "817-416-7475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 POOL RD",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760514278",
            "telephone_number": "817-481-6342",
            "fax_number": "817-416-7475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13150 Senlac Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752341241",
            "country_code": "US",
            "telephone_number": "414-254-1862",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESTANTE",
        "first_name": "NOELLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1089536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.