Active NPI
Bill S Noland Jr., CRNP
- Nurse Practitioner
- Opelika, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2716
- Practice address
- 2609 Village Professional Dr
Suite 3
Opelika, AL 36801-4785 - Phone
- (334) 749-6523
- Fax
- (334) 742-0242
- NPI assigned
- Oct 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Registered Nurse | 163WN0300X | 1-041332 | AL | |
| Nurse Practitioner | 363L00000X | 2716 | AL | Primary |
Addresses
Primary practice location
2609 Village Professional Dr
Suite 3
Opelika, AL 36801-4785
Mailing address
2609 Village Professional Dr
Suite 3
Opelika, AL 36801-4785
Phone (334) 749-6523
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215124557 | Other | AL | NPI |
| 122759 | Medicaid | AL | |
| 122762 | Medicaid | AL | |
| 1134289580 | Medicaid | AL | |
| 528701590 | Medicaid | AL | |
| 1215124557 | Other | NPI | |
| 122761 | Medicaid | AL | |
| 122756 | Medicaid | AL | |
| 122765 | Medicaid | AL | |
| CC1726 | Other | AL | RRMC |
| 122760 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
121 N 20TH St
Suite 20a
Opelika, AL 36801-5456
Phone (334) 749-6523
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2716 | AL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hypertension & Nephrology | Current | Accepting new patients |
Locations
52 Water Works Rd
Dadeville, AL 36853
Phone (256) 825-2740
121 N 20th St
Ste 20A
Opelika, AL 36801
Phone (334) 749-1268
2609 Village Professional Dr N
Ste 3
Opelika, AL 36801
Interoperability endpoints
- bnoland79239@direct.acumenmd.com
- https://api.platform.athenahealth.com/25334/brand/1/csg/1/fhir/r4
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.
-
- Nephrology Physician
- Opelika, AL
- NPI 1134289580
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexander City, AL
- NPI 1811913460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1215124557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 VILLAGE PROFESSIONAL DR",
"address_2": "SUITE 3",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368014785",
"telephone_number": "334-749-6523",
"fax_number": "334-742-0242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 VILLAGE PROFESSIONAL DR",
"address_2": "SUITE 3",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368014785",
"telephone_number": "334-749-6523",
"fax_number": "334-742-0242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAND",
"first_name": "BILL",
"middle_name": "S",
"name_suffix": "Jr.",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-01",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WN0300X",
"taxonomy_group": "",
"desc": "Registered Nurse, Nephrology",
"state": "AL",
"license": "1-041332",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "2716",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1215124557",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122759",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122762",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134289580",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528701590",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1215124557",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122761",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122756",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122765",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "CC1726",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122760",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.