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NOELLE HENNIG
NPI 1063178531
Nurse Anesthetist, Certified Registered in Oakland, CA

Active since November 09, 2021Accepts Medicare Assignment
3100 TELEGRAPH AVE, OAKLAND, CA 94609(510) 879-9200 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Noelle Hennig NPPES

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

NOELLE HENNIG (NPI 1063178531) is an individual nurse anesthetist, certified registered in Oakland, California, licensed in California (95002280) and active in the NPI registry since November 2021. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1063178531
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameNOELLE HENNIG
Location Address3100 TELEGRAPH AVEOakland, CA 94609-3239
Mailing Address3100 Telegraph AveOakland, CA 94609-3239
Phone(510) 879-9200
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 9, 2021
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
✔ NPI 1063178531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in CA · 95002280
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 95254632 (CA)
3100 TELEGRAPH AVE, Oakland, CA 94609
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Noelle Hennig is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597207779
PECOS Enrollment IDI20240603003069

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94609 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
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.

JASON ANTHONY-JAVON SAUNDERS
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
SHARON SHIGEKO LEAF PHARMD
Pharmacist
3100 TELEGRAPH AVE, SUITE 1100
OAKLAND, CA 94609
Alameda County (510) 869-6818
NICOLE HELENE ARMSTRONG
Student in an Organized Health Care Education/Training Program
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
ALEJANDRA LOPEZ
Student in an Organized Health Care Education/Training Program
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
JULIANA PASTORE BSN, RN, CCRN
Nurse Anesthetist, Certified Registered
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
JESSICA YU PA
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377
ELIZABETH MOYER PA-C
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 879-9257
CHRISTIAN MORENO PA-C
Physician Assistant
3100 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (800) 607-6377

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 Noelle Hennig's NPI number?

The NPI number for Noelle Hennig is 1063178531. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Where is Noelle Hennig located?

Noelle Hennig practices at 3100 Telegraph Ave, Oakland, CA 94609. The listed phone number is (510) 879-9200.

What is Noelle Hennig's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Noelle Hennig enrolled in Medicare?

Yes. Noelle Hennig is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Noelle Hennig was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.