Individual provider Active NPI

Jessica Noble, ARNP, FNP-C

  • Primary Care Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1447800438
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP61017584 Issued in WA
Practice address
8479 W Clearwater Ave Unit 120
Kennewick, WA 99336-8628
Phone
(509) 418-5234
Fax
(509) 418-5238
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP61017584 WA Primary

Addresses

Primary practice location

8479 W Clearwater Ave Unit 120
Kennewick, WA 99336-8628

Mailing address

8479 W Clearwater Ave BLDG 2
Kennewick, WA 99336-8628
Phone (509) 418-5231

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.pacificnoblePC.com Direct Pacific Noble Primary Care, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20200406002181 WA Practitioner - Nurse Practitioner 4486083847 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

8479 W Clearwater Ave
Suite 120
Kennewick, WA 99336-8642
Phone (509) 418-5234

Hospital & facility affiliations

  • Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
  • Columbia River Home Health Home health agency, Kennewick, WA, CCN 507061
  • Trios Health Hospital, Kennewick, WA, CCN 500053
  • Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61017584WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Noble Primary Care Professional Limited Liability Com Primary Care CurrentSince Mar 5, 2024 Accepting new patients
RCCH Trios Health LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

8479 W Clearwater Ave
Bldg 2
Kennewick, WA 99336

8479 W Clearwater Ave
Ste 120
Kennewick, WA 99336
Phone (509) 418-5234

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3730 Plaza Way
Kennewick, WA 99338
Phone (509) 221-6350

Interoperability endpoints

  • Direct secure messaging: jessica.noble@633989397807108.direct.elationemr.com

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.

Hospital & facility affiliations 4

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1447800438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8479 W CLEARWATER AVE BLDG 2",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368628",
            "telephone_number": "509-418-5231",
            "fax_number": "509-418-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8479 W CLEARWATER AVE UNIT 120",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368628",
            "telephone_number": "509-418-5234",
            "fax_number": "509-418-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "JESSICA",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61017584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.pacificnoblePC.com",
            "affiliation": "Y",
            "affiliationName": "Pacific Noble Primary Care, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8479 W Clearwater Ave Bldg 2",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993368628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.