Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NOELLE CAPULONG PA
NPI 1275195760
Physician Assistant in San Jose, CA

Active since July 03, 2019PECOS EnrolledAccepts Medicare Assignment
2033 GATEWAY PLACE, 5TH FLOOR, OFFICE 647, SAN JOSE, CA 95110(657) 500-0634 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 14, 2026, Jul 3, 2019 (2 updates tracked since 2019).

About Noelle Capulong Pa NPPES

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

NOELLE CAPULONG PA (NPI 1275195760) is an individual physician assistant in San Jose, California, licensed in California (PA53600) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1275195760
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNOELLE CAPULONGCredential: PA
Location Address2033 GATEWAY PLACE, 5TH FLOOR, OFFICE 647San Jose, CA 95110
Mailing Address68 Harrison Ave Ste 600Boston, MA 02111-1995 · (657) 500-0634
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 3, 2019
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
NPI 1275195760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in CA · PA53600
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2033 GATEWAY PLACE, San Jose, CA 95110

Other Identifiers 1

OtherPA53600CA · Physician Assistant Board Of California

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

Noelle Capulong Pa 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 ID143672220
PECOS Enrollment IDI20240115001452, I20240430001831
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95110 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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.

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 Capulong's NPI number?

The NPI number for Noelle Capulong is 1275195760. It was assigned to this individual provider in the NPPES registry on July 3, 2019.

Where is Noelle Capulong located?

Noelle Capulong practices at 2033 Gateway Place 5th Floor, Office 647, San Jose, CA 95110. The listed phone number is (657) 500-0634.

What is Noelle Capulong's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Noelle Capulong enrolled in Medicare?

Yes. Noelle Capulong 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 Noelle Capulong accept?

Health plans from Providence Health Plan list Noelle Capulong 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 Noelle Capulong was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.