Active NPI
Jessica Noble, ARNP, FNP-C
- Primary Care Nurse Practitioner
- Kennewick, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP61017584
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
- Columbia River Home Health
- Trios Health
- Kadlec Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61017584 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Noble Primary Care Professional Limited Liability Com | Primary Care | Current | Accepting new patients |
| RCCH Trios Health LLC | Current | 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
- 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.
-
- Primary Care Nurse Practitioner
- Kennewick, WA
- NPI 1578342119
-
- Internal Medicine Physician
- Kennewick, WA
- NPI 1831682806
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kennewick, WA
- NPI 1699263079
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
- General Acute Care Hospital
- Kennewick, WA
- NPI 1578058137
-
- Home Health Agency
- Kennewick, WA
- NPI 1679547244
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.