NPIMap

Individual provider Active NPI

Betty Anne Noll, M.D.

  • Family Medicine Physician
  • Marceline, MO
National Provider Identifier
1508813833
Registry record updated Jun 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R8J07 Issued in MO
Practice address
1600 N Missouri Ave
Marceline, MO 64658-1012
Phone
(660) 376-2038
NPI assigned
May 30, 2006
Last updated
Jun 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R8J07 MO Primary

Addresses

Primary practice location

1600 N Missouri Ave
Marceline, MO 64658-1012

Mailing address

1001 W Worley St
Columbia, MO 65203-2037
Phone (573) 214-2314

Other identifiers 2

IdentifierTypeStateIssuer
P00322457OtherMORAILROAD MEDICARE
1508813833MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000003 MO Practitioner - General PracticePractitioner - Family PracticePractitioner - Emergency Medicine 6800849456 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General PracticeAlso: Family Practice
Education
University of Missouri, Columbia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compass Health IncGroup PAC ID 1951206754, 317 clinicians

Practice addresses (Care Compare)

1600 N Missouri Ave
Marceline, MO 64658-1012
Phone (660) 376-2038

1800 Community
Clinton, MO 64735-8804
Phone (888) 403-1071

307 S Broadway
Salisbury, MO 65281-1037
Phone (660) 388-6446

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Health, Inc CurrentSince Sep 16, 2020 Accepting new patients
Compass Health, Inc CurrentSince Sep 16, 2020 Accepting new patients

Locations

1800 Community
Clinton, MO 64735
Phone (660) 885-8131

1800 Community
#B
Clinton, MO 64735

1001 W Worley St
Columbia, MO 65203
Phone (573) 214-2314

1705 E Broadway
Ste 340
Columbia, MO 65201
Phone (573) 442-2320

200 Portland St
Columbia, MO 65201
Phone (573) 886-4600

2475 Broadway Bluffs Dr
Ste 200
Columbia, MO 65201
Phone (573) 777-9282

1600 N Missouri Ave
Marceline, MO 64658
Phone (660) 376-2038

1517 Union Ave
Ste C
Moberly, MO 65270
Phone (660) 263-6500

307 S Broadway
Salisbury, MO 65281
Phone (660) 388-6446

Interoperability endpoints

  • Direct secure messaging: betty.noll.p1@direct.compasshn.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403222400000",
    "number": "1508813833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W WORLEY ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652032037",
            "telephone_number": "573-214-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 N MISSOURI AVE",
            "city": "MARCELINE",
            "state": "MO",
            "postal_code": "646581012",
            "telephone_number": "660-376-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLL",
        "first_name": "BETTY",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2014-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R8J07",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00322457",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508813833",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marceline, MO

Sources for this page

Verify at the official NPI Registry.