Individual provider Active NPI

Aubry Elyse Van Noy, MPAS, PA-C

  • Physician Assistant
  • Prosper, TX
National Provider Identifier
1750942991
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12870 Issued in TX
Practice address
1450 N Preston Rd Ste 60
Prosper, TX 75078-9890
Phone
(972) 316-4555
Fax
(469) 481-2373
NPI assigned
Jun 27, 2019
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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 PA12870 TX Primary

Addresses

Primary practice location

1450 N Preston Rd Ste 60
Prosper, TX 75078-9890

Mailing address

PO Box 679191
Dallas, TX 75267-9191
Phone (972) 316-4555

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
I20221006000925 TX Practitioner - Physician Assistant 2062898513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Michael McGuiness PAGroup PAC ID 5698801702, 15 clinicians

Practice addresses (Care Compare)

1450 N Preston Rd
Prosper, TX 75078-9890
Phone (972) 316-4555

152 Brand
Suite 100
Murphy, TX 75094-3717
Phone (972) 316-4555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA12870TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology & Cutaneous Surgery PLLC PastSince Apr 18, 2011 Accepting new patients
Grace Elizabeth Brown, MD PA Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1750942991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679191",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752679191",
            "telephone_number": "972-316-4555",
            "fax_number": "469-802-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 N PRESTON RD STE 60",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789890",
            "telephone_number": "972-316-4555",
            "fax_number": "469-481-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NOY",
        "first_name": "AUBRY",
        "middle_name": "ELYSE",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-27",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.