Individual provider Active NPI

Melinda Sue Noble

  • Family Nurse Practitioner
  • Palmer, AK
National Provider Identifier
1477063568
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
125786 Issued in AK
Practice address
561 S Denali St Ste E
Palmer, AK 99645-6464
Phone
(907) 745-1777
Fax
(907) 745-0226
NPI assigned
Oct 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 125786 AK Primary

Addresses

Primary practice location

561 S Denali St Ste E
Palmer, AK 99645-6464

Mailing address

561 S Denali St Ste E
Palmer, AK 99645-6464
Phone (907) 745-0226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20220118001839 AK Practitioner - Nurse Practitioner 3779842174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Alaska Family Health Centers LLCGroup PAC ID 6103101845, 3 clinicians

Practice addresses (Care Compare)

10928 Eagle River Rd
Suite 150
Eagle River, AK 99577-8078
Phone (907) 694-8085

1700 E Bogard Rd
Suite B203
Wasilla, AK 99654-6570
Phone (907) 921-5088

561 S Denali St
Suite E
Palmer, AK 99645-6464
Phone (907) 745-1777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Family Health Centers, LLC CurrentSince Nov 22, 2021 Accepting new patients
Capital Health System Past Accepting new patients
Family Health Center, PC Family PastSince Mar 1, 2003 Accepting new patients

Locations

561 S Denali St
Ste E
Palmer, AK 99645
Phone (907) 745-1777

425 E Dahlia Ave
Ste L
Palmer, AK 99645
Phone (907) 376-2411

Interoperability endpoints

  • Direct secure messaging: melinda.noble@371240344420356.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDAAA/Endpoint/EHDAAA

Organizations & group practices 3

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 3

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1477063568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 S DENALI ST STE E",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456464",
            "telephone_number": "907-745-0226",
            "fax_number": "907-745-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 S DENALI ST STE E",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996456464",
            "telephone_number": "907-745-1777",
            "fax_number": "907-745-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "MELINDA",
        "middle_name": "SUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "125786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

Verify at the official NPI Registry.