JOHNNY NOLAN DO
NPI 1215677653
Internal Medicine in Happy Valley, OR

Active since April 01, 2022PECOS EnrolledAccepts Medicare Assignment
11211 SE 82ND AVE STE Z, HAPPY VALLEY, OR 97086(971) 432-7555 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Johnny Nolan Do NPPES

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

JOHNNY NOLAN DO (NPI 1215677653) is an individual internal medicine provider in Happy Valley, Oregon, licensed in Oregon (DO226572) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Inverness, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2025).

NPPES Registry Identity

NPI1215677653
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHNNY NOLANCredential: DO
Location Address11211 SE 82ND AVE STE ZHappy Valley, OR 97086-7669
Mailing Address502 W Highland BlvdInverness, FL 34452-4720 · (352) 726-1551
Sole ProprietorYes
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2025
Enumeration DateApril 1, 2022
Last NPPES UpdateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
NPI 1215677653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OR · DO226572
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11211 SE 82ND AVE STE Z, Happy Valley, OR 97086

Secondary Practice Location 1

Location 1502 W Highland BlvdInverness, FL 34452-4720 · Phone (352) 726-1551

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Johnny Nolan Do 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 ID8628435989
PECOS Enrollment IDI20250905004135
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 97086 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
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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.

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 Johnny Nolan's NPI number?

The NPI number for Johnny Nolan is 1215677653. It was assigned to this individual provider in the NPPES registry on April 1, 2022.

Where is Johnny Nolan located?

Johnny Nolan practices at 11211 SE 82nd Ave Ste Z, Happy Valley, OR 97086. The listed phone number is (971) 432-7555.

What is Johnny Nolan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Johnny Nolan enrolled in Medicare?

Yes. Johnny Nolan 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.

What insurance does Johnny Nolan accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Johnny Nolan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johnny Nolan was last updated on August 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.