CARRIE LYN NOONAN NP-C
NPI 1114339470
Nurse Practitioner - Family in Creve Coeur, MO

Active since May 21, 2014PECOS EnrolledAccepts Medicare Assignment
11560 OLIVE BLVD, MINUTECLINIC, CREVE COEUR, MO 63141(314) 995-7128 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Nov 18, 2025, Nov 5, 2025 and 2 more (5 updates tracked since 2025).

About Carrie Lyn Noonan Np-c NPPES

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

CARRIE LYN NOONAN NP-C (NPI 1114339470) is an individual family provider in Creve Coeur, Missouri, licensed in Missouri (2014004541) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1114339470
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARRIE LYN NOONANCredential: NP-C
Location Address11560 OLIVE BLVD, MINUTECLINICCreve Coeur, MO 63141-7111
Mailing Address11560 Olive BlvdCreve Coeur, MO 63141-7111 · (618) 520-4512
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 21, 2014
Last NPPES UpdateFebruary 12, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
NPI 1114339470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MO · 2014004541 Licensed in OR · 10051813 Licensed in HI · 5607 Licensed in UT · 142493974405 Licensed in WA · 70055290 Licensed in MT · 269119 Licensed in AK · 246249 Licensed in NM · 85265 Licensed in AZ · 332033 Licensed in IL · 209011328 Licensed in MN · 13903
Also ListedRegistered NurseTaxonomy 163W00000X · License 2009019269 (MO)
11560 OLIVE BLVD, Creve Coeur, MO 63141

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

Carrie Lyn Noonan Np-c 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 ID3274759642
PECOS Enrollment IDI20251025000217
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 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Nurse Practitioner (Family)
11560 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Practitioner (Family)
11560 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Practitioner (Family)
11560 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Practitioner (Family)
11560 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Practitioner (Family)
11560 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Practitioner (Family)
11560 OLIVE BLVD
CREVE COEUR, MO 63141
Nurse Practitioner (Family)
11560 OLIVE BLVD
CREVE COEUR, MO 63141
Pharmacist
11560 OLIVE BLVD
CREVE COEUR, MO 63141

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 Carrie Noonan's NPI number?

The NPI number for Carrie Noonan is 1114339470. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Carrie Noonan located?

Carrie Noonan practices at 11560 Olive Blvd Minuteclinic, Creve Coeur, MO 63141. The listed phone number is (314) 995-7128.

What is Carrie Noonan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carrie Noonan enrolled in Medicare?

Yes. Carrie Noonan 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 Carrie Noonan was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.