ROBERT B. NOLAN, JR., MD, PLLC
NPI 1023153350
Physician Assistant in Louisville, KY

Active since February 21, 2007CLIA 18D0321860 · Waiver
4119 BROWNS LN, STE. 1, LOUISVILLE, KY 40220(502) 451-9296(502) 451-9291 Get Directions Write a Review

NPPES record last updated: December 9, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Robert B. Nolan, Jr., Md, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT B. NOLAN, JR., MD, PLLC (NPI 1023153350) is a healthcare organization registered as a physician assistant in Louisville, Kentucky and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 20, 2027 and lists Robert Bond Nolan, Owner, as its authorized official.

NPPES Registry Identity

NPI1023153350
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameROBERT B. NOLAN, JR., MD, PLLC
Location Address4119 BROWNS LN, STE. 1Louisville, KY 40220-1500
Mailing Address4119 Browns Ln, Ste. 1Louisville, KY 40220-1500 · (502) 451-9296 · Fax (502) 451-9291
Fax(502) 451-9291
Organization SubpartNo
Authorized OfficialRobert Bond NolanOwner · (502) 451-9296
Enumeration DateFebruary 21, 2007
Last NPPES UpdateDecember 9, 2009
✔ NPI 1023153350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in KY · PA353
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
4119 BROWNS LN, Louisville, KY 40220

Other Identifiers 1

Medicare PIN7893KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert B. Nolan, Jr., Md, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Robert B. Nolan, Jr., MD, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Family Practice
NPI 1871597781
4119 BROWNS LN STE 1
Louisville, KY 40220
(502) 451-9296
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1851440267
4119 BROWNS LN STE 1
Louisville, KY 40220
(502) 451-9296
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1780090233
125 E PLUMMER BLVD STE A
Chatham, IL 62629
(217) 483-3333
✔ PECOS✔ Accepts Medicare242 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0321860

Robert B Nolan Jr MD · Louisville, KY
Active · expires Mar 20, 2027
CLIA Number18D0321860
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateMarch 20, 2027
Laboratory DirectorRobert B. Nolan Jr
Laboratory Phone(502) 451-9296
Laboratory LocationRobert B Nolan Jr MD4119 Browns Lane Suite 1, Louisville, KY 40220
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert B. Nolan, Jr., MD, PLLC's NPI number?

The NPI number for Robert B. Nolan, Jr., MD, PLLC is 1023153350. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Robert B. Nolan, Jr., MD, PLLC located?

Robert B. Nolan, Jr., MD, PLLC is located at 4119 Browns Ln Ste. 1, Louisville, KY 40220. The listed phone number is (502) 451-9296.

What is Robert B. Nolan, Jr., MD, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Robert B. Nolan, Jr., MD, PLLC enrolled in Medicare?

Yes. Robert B. Nolan, Jr., MD, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert B. Nolan, Jr., MD, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Robert B. Nolan, Jr., MD, PLLC, in Family Practice and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Robert B. Nolan, Jr., MD, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0321860) is associated with this NPI, valid through March 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Robert B. Nolan, Jr., MD, PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Robert B. Nolan, Jr., MD, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Robert B. Nolan, Jr., MD, PLLC was last updated on December 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.