Individual provider Active NPI

Stacey W Noel, M.D.

  • Family Medicine Physician
  • Paragould, AR
National Provider Identifier
1992781264
Registry record updated Jan 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E2402 Issued in AR
Practice address
1015 W Kingshighway
Paragould, AR 72450-4142
Phone
(870) 239-4076
Fax
(870) 239-4079
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2402 AR Primary

Addresses

Primary practice location

1015 W Kingshighway
Paragould, AR 72450-4142

Mailing address

1015 W Kingshighway
Paragould, AR 72450-4142
Phone (870) 239-4076

Other identifiers 1

IdentifierTypeStateIssuer
139302001MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051214000055 AR Practitioner - Family Practice 3375564701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Clinic of ParagouldGroup PAC ID 8921021460, 4 clinicians

Practice addresses (Care Compare)

1015 W Kingshighway
Paragould, AR 72450-4142
Phone 8702394076203

Hospital & facility affiliations

  • Ar Meth Med Ctr HH Home health agency, Paragould, AR, CCN 047004
  • St Bernards Home Care Home health agency, Jonesboro, AR, CCN 047033
  • Arkansas Methodist Medical Center Hospital, Paragould, AR, CCN 040039
  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • Baptist Memorial Hospital Jonesboro, Inc. Hospital, Jonesboro, AR, CCN 040118
  • Arkansas Methodist Hospital Inpatient rehabilitation facility, Paragould, AR, CCN 04T039

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E2402ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Clinic of Paragould Family Medicine CurrentSince Nov 18, 2005 Accepting new patients
Hendrix Medical Services PLLC Family Medicine PastSince Nov 18, 2005 Accepting new patients
Arkansas Methodist Hospital Corporation Past Accepting new patients

Locations

900 W Kingshighway
Paragould, AR 72450
Phone (870) 239-7000

1015 W Kingshighway
Paragould, AR 72450
Phone (870) 239-4076

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBGAAA

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1992781264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504142",
            "telephone_number": "870-239-4076",
            "fax_number": "870-239-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W KINGSHIGHWAY",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504142",
            "telephone_number": "870-239-4076",
            "fax_number": "870-239-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOEL",
        "first_name": "STACEY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139302001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.