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MARY C NOYOLA APRN
NPI 1467277459
Nurse Practitioner - Gerontology in Ennis, TX

Active since November 15, 2024PECOS EnrolledAccepts Medicare Assignment
2200 W ENNIS AVE, ENNIS, TX 75119(972) 875-8600(972) 875-8481 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary C Noyola Aprn NPPES

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

MARY C NOYOLA APRN (NPI 1467277459) is an individual gerontology provider in Ennis, Texas, licensed in Texas (1172160) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1467277459
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY C NOYOLACredential: APRN
Location Address2200 W ENNIS AVEEnnis, TX 75119-8003
Mailing Address2200 W Ennis AveEnnis, TX 75119-8003 · (972) 875-8600 · Fax (972) 875-8481
Phone(972) 875-8600
Fax(972) 875-8481
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 15, 2024
NPPES CertifiedNovember 15, 2024
✔ NPI 1467277459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1172160
2200 W ENNIS AVE, Ennis, TX 75119
Open in Google Maps ↗

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

Mary C Noyola Aprn 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 ID9537694823
PECOS Enrollment IDI20241122003367
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 75119 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 7

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

HOMETOWN CHIROPRACTIC, PLLC
Chiropractor
2200 W ENNIS AVE, SUITE A
ENNIS, TX 75119
Ellis County (972) 875-8600
HOMETOWN PHYSICAL MEDICINE, PLLC
Internal Medicine
2200 W ENNIS AVE
ENNIS, TX 75119
Ellis County (972) 875-8600
DR. JESUS MARCIAL DC
Chiropractor
2200 W ENNIS AVE, SUITE A
ENNIS, TX 75119
Ellis County (972) 875-8676
DFW ORAL AND MAXILLOFACIAL SURGERY ENNIS, LLC
Dentist (Oral and Maxillofacial Surgery)
2200 W ENNIS AVE, STE. B
ENNIS, TX 75119
Ellis County (972) 875-7616
APRIL MORGAN NP-C
Nurse Practitioner (Family)
2200 W ENNIS AVE, A
ENNIS, TX 75119
Ellis County (972) 875-8600
ELLIS PAIN & PAIN REHABILITATION CENTER
Chiropractor (Rehabilitation)
2200 W ENNIS AVE, SUITE # A
ENNIS, TX 75119
Ellis County (972) 875-8600
TORY MAGDALENE SIMPSON MSN FNP-C
Nurse Practitioner
2200 W ENNIS AVE
ENNIS, TX 75119
Ellis County (972) 875-8600

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 Mary Noyola's NPI number?

The NPI number for Mary Noyola is 1467277459. It was assigned to this individual provider in the NPPES registry on November 15, 2024.

Where is Mary Noyola located?

Mary Noyola practices at 2200 W Ennis Ave, Ennis, TX 75119. The listed phone number is (972) 875-8600.

What is Mary Noyola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mary Noyola enrolled in Medicare?

Yes. Mary Noyola 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 Mary Noyola was last updated on November 15, 2024. 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.