RALYN DEE NOLAND FNP-C
NPI 1174346357
Nurse Practitioner - Primary Care in Pensacola, FL

Q: What is Ralyn Noland's NPI number?

The NPI number for Ralyn Noland is 1174346357. It was assigned to this individual provider in the NPPES registry on November 5, 2024.

Q: What is Ralyn Noland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Ralyn Noland was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since November 05, 2024PECOS EnrolledAccepts Medicare Assignment

5111 N 12TH AVE, PENSACOLA, FL 32504(850) 226-6801(877) 413-5104 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ralyn Dee Noland Fnp-c NPPES

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

RALYN DEE NOLAND FNP-C (NPI 1174346357) is an individual primary care provider in Pensacola, Florida, licensed in Florida (APRN11036348) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174346357

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameRALYN DEE NOLANDCredential: FNP-C

Location Address5111 N 12TH AVEPensacola, FL 32504-8918

Mailing Address7209 Clydesdale DrPensacola, FL 32506-5181 · (662) 386-3339

Phone(850) 226-6801

Fax(877) 413-5104

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 5, 2024

Last NPPES UpdateJanuary 23, 2025

NPPES CertifiedJanuary 23, 2025

✔ NPI 1174346357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in FL · APRN11036348

5111 N 12TH AVE, Pensacola, FL 32504

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ralyn Dee Noland Fnp-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 ID6305362229

PECOS Enrollment IDI20250423003810

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.

Medicare Billing Reassignment

Medicare enrollment records show Ralyn Noland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dynamic Pain & Wellness LLC

34 mi

Anesthesiology

930 MARWALT DR, UNIT C
Fort Walton Beach, FL 32547

Reassigned Medicare billing, Florida enrollment
25 clinicians in this Medicare group

NPI 1285007989 (850) 226-6801

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 8

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

DYNAMIC PAIN & WELLNESS LLC

Pain Medicine (Interventional Pain Medicine)