Individual provider Active NPI

Kelly Jeanne Noel, PA

  • Physician Assistant
  • Henderson, NV
National Provider Identifier
1588807978
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1164 Issued in NV
Practice address
3175 Saint Rose Pkwy Ste 121
Henderson, NV 89052-3507
Phone
(702) 320-8111
NPI assigned
Apr 14, 2009
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA1164 NV Primary

Addresses

Primary practice location

3175 Saint Rose Pkwy Ste 121
Henderson, NV 89052-3507

Mailing address

7140 Smoke Ranch Rd Ste 150
Las Vegas, NV 89128-3157

Other practice location 1

7140 Smoke Ranch Rd
Suite 150
Las Vegas, NV 89128-3157
Phone (702) 320-8111

Other practice location 2

7455 W Washington Ave Ste 480
Las Vegas, NV 89128-4338
Phone (702) 320-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20091030000206 NV Practitioner - Physician Assistant 4486791043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegiant Institute Inc.Group PAC ID 4981678695, 19 clinicians

Practice addresses (Care Compare)

7140 Smoke Ranch Rd
Las Vegas, NV 89128-3157
Phone (702) 320-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA1164NVMDPhysician Assistant

Organizations & group practices 1

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 2

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": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1588807978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7140 SMOKE RANCH RD STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891283157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3175 SAINT ROSE PKWY STE 121",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523507",
            "telephone_number": "702-320-8111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7140 Smoke Ranch Rd",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891283157",
            "country_code": "US",
            "telephone_number": "702-320-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7455 W Washington Ave Ste 480",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891284338",
            "country_code": "US",
            "telephone_number": "702-320-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOEL",
        "first_name": "KELLY",
        "middle_name": "JEANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA1164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.