Individual provider Active NPI

Bill S Noland Jr., CRNP

  • Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1215124557
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2716 Issued in AL
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

Updated by the provider on Jun 9, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1215124557OtherALNPI
122759MedicaidAL
122762MedicaidAL
1134289580MedicaidAL
528701590MedicaidAL
1215124557OtherNPI
122761MedicaidAL
122756MedicaidAL
122765MedicaidAL
CC1726OtherALRRMC
122760MedicaidAL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080212000411 AL Practitioner - Nurse Practitioner 2567545700 Reassigns benefits to 1 organization

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
Hypertension and NephrologyGroup PAC ID 3971529793, 9 clinicians

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

LicenseStateTypeSpecialty
2716ALMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hypertension & Nephrology CurrentSince Oct 1, 2007 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

  • Direct secure messaging: bnoland79239@direct.acumenmd.com
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.