Michael John Noonan, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PAL-2886 Issued in CO

Practice address

95-A W. 1St Ave.
Rio Grande Medical Center
Monte Vista, CO 81144

Phone

(719) 852-2512

NPI assigned

Oct 5, 2009

Sex

Male

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 CO

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

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Valley-Wide Health Systems, Inc.Group PAC ID 5991609067, 42 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• At Home Healthcare Home health agency, Alamosa, CO, CCN 067248
• Alamosa County Public Health Department Home health agency, Alamosa, CO, CCN 067026
• San Luis Valley Regional Medical Center Hospital, Alamosa, CO, CCN 060008
• Rio Grande Hospital Hospital, Del Norte, CO, CCN 061301

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.noonan.p1@direct.vwhs.nextgenshare.com

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.

• Valley-Wide Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Alamosa, CO
  • NPI 1790998953
  Medicare reassignment Care Compare group NPD
• Valley-Wide Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alamosa, CO
  • NPI 1205652047
  NPD
• Valley-Wide Health Systems, Inc.

  • Federally Qualified Health Center (FQHC)
  • Canon City, CO
  • NPI 1215383500
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• County of Alamosa

  • Home Health Agency
  • Alamosa, CO
  • NPI 1639173180
  Care Compare affiliation
• LHCG Lvii, LLC

  • Home Health Agency
  • Alamosa, CO
  • NPI 1235545997
  Care Compare affiliation
• Lutheran Hospital Association of the San Luis Valley

  • General Acute Care Hospital
  • Alamosa, CO
  • NPI 1235181744
  Care Compare affiliation
• Valley Citizens' Foundation for Health Care Inc

  • Critical Access Hospital
  • Del Norte, CO
  • NPI 1396783981
  Care Compare affiliation
• Valley Citizens' Foundation for Health Care Inc

  • Critical Access Hospital Clinic/Center
  • South Fork, CO
  • NPI 1699266718
  Care Compare affiliation
• Valley Citizens' Foundation for Health Care Inc

  • Critical Access Hospital Clinic/Center
  • Creede, CO
  • NPI 1851882989
  Care Compare affiliation

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254700800000",
    "number": "1598090888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 STALLO ST",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "811441645",
            "telephone_number": "719-850-0613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-A W. 1ST AVE.",
            "address_2": "RIO GRANDE MEDICAL CENTER",
            "city": "MONTE VISTA",
            "state": "CO",
            "postal_code": "81144",
            "telephone_number": "719-852-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOONAN",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PAL-2886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monte Vista Family Practice
• Monte Vista Investors, LLC
• MVPS LLC
• MVPS LLC
• Janice Janae Naranjo, LPC
• Terry Glenn Pace Jr., LPCC
• Amelie Mae Pacheco
• Pence Pediatrics, PC
• Pence Pediatrics, PC
• Purgatory Pharmaceutical Services LLC

• Medical Physician Assistant in Monte Vista, CO
• Providers in Monte Vista, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.