Mary C Noyola, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1172160 Issued in TX

Practice address

2200 W Ennis Ave
Ennis, TX 75119-8003

Phone

(972) 875-8600

Fax

(972) 875-8481

NPI assigned

Nov 15, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hometown Physical Medicine PLLCGroup PAC ID 5890932230, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCGGDD/Endpoint/BCGGDD

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.

• Hometown Physical Medicine, PLLC

  • Internal Medicine Physician
  • Ennis, TX
  • NPI 1376809848
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1467277459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W ENNIS AVE",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751198003",
            "telephone_number": "972-875-8600",
            "fax_number": "972-875-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W ENNIS AVE",
            "city": "ENNIS",
            "state": "TX",
            "postal_code": "751198003",
            "telephone_number": "972-875-8600",
            "fax_number": "972-875-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOYOLA",
        "first_name": "MARY",
        "middle_name": "C",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1172160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nortex Anesthesia, PLLC
• North Texas Health Alliance, LLC
• Jerry Northcutt, O.D.
• Northeastern Anesthesia Services PA
• Gerald Noterman, PT
• NW Main Chiropractic, P.a.
• Oluchi Ozumba MD PA
• Marcela Orozco
• Gretchen Ann Ort, LM, CPM
• Gabriela Ortega

• Gerontology Nurse Practitioner in Ennis, TX
• Providers in Ennis, TX by specialty
• Gerontology Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.