Individual provider Active NPI

Noelle Decell, PA-C

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1609572791
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA16272 Issued in TX
Practice address
5941 Dallas Pkwy
Plano, TX 75093-9001
Phone
(972) 758-4455
NPI assigned
Feb 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 PA16272 TX Primary

Addresses

Primary practice location

5941 Dallas Pkwy
Plano, TX 75093-9001

Mailing address

2051 Wittington PL Apt 1191
Farmers Branch, TX 75234-1918
Phone (951) 235-6151

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230718000406 TX Practitioner - Physician Assistant 1355701772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors of Internal Medicine PAGroup PAC ID 5092750620, 27 clinicians

Practice addresses (Care Compare)

240 Adriatic Pkwy
McKinney, TX 75070-8278
Phone (972) 382-9292

5941 Dallas Pkwy
Suite 100
Plano, TX 75093-9002
Phone (972) 758-4455

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician 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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1609572791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 WITTINGTON PL APT 1191",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752341918",
            "telephone_number": "951-235-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5941 DALLAS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750939001",
            "telephone_number": "972-758-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECELL",
        "first_name": "NOELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.