Active NPI
Jill Nadene Noll, CNM
- Advanced Practice Midwife
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 22255 Greenfield Rd Ste 352
Southfield, MI 48075-3712 - Phone
- (248) 849-3401
- Fax
- (248) 849-4106
- NPI assigned
- Apr 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 173591 | NC | |
| Advanced Practice Midwife | 367A00000X | Primary |
Addresses
Primary practice location
22255 Greenfield Rd Ste 352
Southfield, MI 48075-3712
Mailing address
22255 Greenfield Rd Ste 352
Southfield, MI 48075-3712
Phone (248) 849-3401
Other practice location 1
1838 Martin Luther King Blvd.
suite B-19
Chapel Hill, NC 27514
Phone (919) 960-7461
Other practice location 2
44405 Woodward Ave
Pontiac, MI 48341-5023
Phone (248) 858-3525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4704333101 | Other | MI | NURSE SPECIALTY CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
475 Hwy 70
Suite 101
Lakewood, NJ 08701-5897
Phone (732) 364-8000
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.51 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173591 | NC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| Barnabas Health Medical Group PC | Current | Accepting new patients | |
| University of North Carolina at Chapel Hill | Past | Accepting new patients | |
| University of North Carolina at Chapel Hill | Past | Accepting new patients | |
| University Internal Medicine at Chapel Hill North Medical Center | Past | Accepting new patients |
Locations
355 Grand St
Jersey City, NJ 07302
Phone (201) 915-2224
475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000
94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400
235 Millburn Ave
Ste 101
Millburn, NJ 07041
Phone (973) 376-8034
379 Campus Dr
Fl 4
Somerset, NJ 08873
Phone (732) 507-6545
413 Lakehurst Rd
Ste 101
Toms River, NJ 08755
Phone (732) 364-8000
Interoperability endpoints
- jnoll125765@epicdirect.rwjbh.org
Organizations & group practices 5
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.
-
- Specialist
- Elizabeth, NJ
- NPI 1841557246
-
- Durable Medical Equipment & Medical Supplies
- Hackensack, NJ
- NPI 1316772668
-
- Internal Medicine Physician
- Chapel Hill, NC
- NPI 1144248055
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
-
- Primary Care Clinic/Center
- Chapel Hill, NC
- NPI 1811915705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594080000000",
"number": "1821052887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22255 GREENFIELD RD STE 352",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753712",
"telephone_number": "248-849-3401",
"fax_number": "248-849-4106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22255 GREENFIELD RD STE 352",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480753712",
"telephone_number": "248-849-3401",
"fax_number": "248-849-4106"
}
],
"practiceLocations": [
{
"address_1": "1838 Martin Luther King Blvd.",
"address_2": "suite B-19",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "27514",
"country_code": "US",
"telephone_number": "919-960-7461",
"fax_number": "919-960-0425",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "44405 Woodward Ave",
"address_purpose": "LOCATION",
"city": "Pontiac",
"state": "MI",
"postal_code": "483415023",
"country_code": "US",
"telephone_number": "248-858-3525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLL",
"first_name": "JILL",
"middle_name": "NADENE",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-14",
"last_updated": "2020-07-07",
"certification_date": "2020-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "173591",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE SPECIALTY CERTIFICATION",
"identifier": "4704333101",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.