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DR. JACK ANTHONY NOLTE MD
NPI 1174264055
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since April 05, 2022PECOS Enrolled
4301 W. MARKHAM ST., SLOT 531, LITTLE ROCK, AR 72205(501) 686-5259 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Anthony Nolte Md NPPES

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

DR. JACK ANTHONY NOLTE MD (NPI 1174264055) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174264055
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JACK ANTHONY NOLTECredential: MD
Location Address4301 W. MARKHAM ST., SLOT 531Little Rock, AR 72205
Mailing Address4301 W. Markham St., Slot 531Little Rock, AR 72205 · (785) 741-4343
Phone(501) 686-5259
Sole ProprietorYes
Enumeration DateApril 5, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1174264055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4301 W. MARKHAM ST., SLOT 531, Little Rock, AR 72205
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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 (PECOS)

Dr. Jack Anthony Nolte Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jack Nolte's NPI number?

The NPI number for Jack Nolte is 1174264055. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Jack Nolte located?

Jack Nolte practices at 4301 W. Markham St., Slot 531, Little Rock, AR 72205. The listed phone number is (501) 686-5259.

What is Jack Nolte's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jack Nolte enrolled in Medicare?

Yes. Jack Nolte is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Nolte was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.