MARY C NOYOLA APRN
NPI 1467277459
Nurse Practitioner - Gerontology in Ennis, TX
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Noyola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ennis, TX 75119
- Reassigned Medicare billing, Texas enrollment
- 2 clinicians in this Medicare group
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 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.
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.
ENNIS, TX 75119
ENNIS, TX 75119
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.
Which organization bills Medicare for Mary Noyola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Noyola reassigns Medicare benefits to Hometown Physical Medicine, PLLC (Ennis, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Noyola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 23 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.
# Mary C Noyola, APRN · NPI 1467277459
Gerontology physician in Ennis, Texas. Individual provider, active in the CMS NPPES registry since November 15, 2024.
## Identity
- **NPI:** 1467277459 (Entity type: Individual)
- **Enumerated:** November 15, 2024
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 1172160 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 2200 W ENNIS AVE, Ennis, TX 75119-8003
- **Phone:** (972) 875-8600 · **Fax:** (972) 875-8481
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Hometown Physical Medicine, PLLC (NPI 1376809848, Ennis, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** November 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1467277459) · Data from the CMS NPPES public registry.