Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAMELA NOONAN RD
NPI 1043260896
Nurse Practitioner in Emeryville, CA

Active since May 11, 2006PECOS Enrolled
2100 POWELL ST, EMERYVILLE, CA 94608(510) 350-2600 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2026, Nov 30, 2025, Sep 11, 2025 (3 updates tracked since 2025).

About Pamela Noonan Rd NPPES

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

PAMELA NOONAN RD (NPI 1043260896) is an individual nurse practitioner in Emeryville, California, licensed in California (NP95036904) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1043260896
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePAMELA NOONANCredential: RD
Location Address2100 POWELL STEmeryville, CA 94608-1826
Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 524-1211
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMay 11, 2006
Last NPPES UpdateJuly 13, 20263 updates tracked since enumeration
NPPES CertifiedNovember 30, 2025
NPI 1043260896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · NP95036904
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNutritionistTaxonomy 133N00000X · License 860640 (CA)
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 860640 (CA)
2100 POWELL ST, Emeryville, CA 94608

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Pamela Noonan Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234037680
PECOS Enrollment IDI20260106001151
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94608 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2100 POWELL ST, STE 900
EMERYVILLE, CA 94608
Physician Assistant
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Nurse Practitioner
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Physician Assistant
2100 POWELL ST, SUITE 920
EMERYVILLE, CA 94608
Emergency Medicine
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Emergency Medicine
2100 POWELL ST, SUITE 900
EMERYVILLE, CA 94608
Physician Assistant
2100 POWELL ST
EMERYVILLE, CA 94608
Physician Assistant
2100 POWELL ST, SUITE 920
EMERYVILLE, CA 94608

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 Pamela Noonan's NPI number?

The NPI number for Pamela Noonan is 1043260896. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Pamela Noonan located?

Pamela Noonan practices at 2100 Powell St, Emeryville, CA 94608. The listed phone number is (510) 350-2600.

What is Pamela Noonan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Pamela Noonan enrolled in Medicare?

Yes. Pamela Noonan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pamela Noonan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.