Rebecca Noll, DNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

R188023 Issued in MD

Practice address

5024 Campbell Blvd Ste H
Baltimore, MD 21236-5974

Phone

(928) 041-0931

NPI assigned

Aug 8, 2021

Last updated

Aug 8, 2021By the provider in NPPES

Sex

Female

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 MD

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

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Long Integrated Psychiatric Services LLCGroup PAC ID 9436567831, 2 clinicians

Serene Wellness Psychiatry LLCGroup PAC ID 9335587310, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Long Integrated Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middle River, MD
  • NPI 1790366193
  Medicare reassignment Care Compare group NPD
• Serene Wellness Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bel Air, MD
  • NPI 1528818820
  Medicare reassignment Care Compare group NPD
• White Marsh Psychiatric Associates, LLC

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1043466147
  Medicare reassignment
• Long Integrated Psychiatric Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Middle River, MD
  • NPI 1033878137
  NPD

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1720752173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 FRANKLIN SQUARE DR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373901",
            "telephone_number": "443-794-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 CAMPBELL BLVD STE H",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212365974",
            "telephone_number": "928-041-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLL",
        "first_name": "REBECCA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-08-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R188023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serena Rose Nolan, MD
• Sydney Nolan, DMD
• Ivelisse Nolasco
• Claire Noll, LMSW
• Matthew Noll, PHARM.D.
• Valerie S Noll
• Stephanie Grace Nolting
• Nomal One, LLC
• Nomal One, LLC
• Ashley Ann Nonemaker, P.A.-C

• Psychiatric/Mental Health Nurse Practitioner in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; 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.