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SAPPHIRE ELISSA NOEL-MCDONALD PMHNP
NPI 1497230643
Nurse Practitioner - Psychiatric/Mental Health in Conroe, TX

Active since October 03, 2018PECOS EnrolledAccepts Medicare Assignment
15635 PLUM BROOK DR, CONROE, TX 77303(305) 890-7455 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2025, Nov 13, 2025, Oct 3, 2018 (3 updates tracked since 2018).

About Sapphire Elissa Noel-mcdonald Pmhnp NPPES

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

SAPPHIRE ELISSA NOEL-MCDONALD PMHNP (NPI 1497230643) is an individual psychiatric/mental health provider in Conroe, Texas, licensed in Texas (1098693) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1497230643
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAPPHIRE ELISSA NOEL-MCDONALDCredential: PMHNP
Location Address15635 PLUM BROOK DRConroe, TX 77303-2077
Mailing Address15635 Plum Brook DrConroe, TX 77303 · (305) 890-7455
Phone(305) 890-7455
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 3, 2018
Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration
NPPES CertifiedDecember 17, 2025
✔ NPI 1497230643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1098693
15635 PLUM BROOK DR, Conroe, TX 77303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

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

Sapphire Elissa Noel-mcdonald Pmhnp 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 ID8022503184
PECOS Enrollment IDI20251217000502
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 Reassignments

2

Medicare enrollment records show Sapphire Noel-mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Community Integration Project
22 mi
Psychiatric/Mental Health
6005 WINDWARD FALLS WAY
Porter, TX 77365
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
NPI 1225540701 (903) 452-3363
Castle Health Care Services Inc.
47 mi
Mental Health (Including Community Mental Health Center)
6666 HARWIN DR STE 155
Houston, TX 77036
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
NPI 1437474343 (832) 834-3830

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 77303 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.

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 Sapphire Noel-mcdonald's NPI number?

The NPI number for Sapphire Noel-mcdonald is 1497230643. It was assigned to this individual provider in the NPPES registry on October 3, 2018.

Where is Sapphire Noel-mcdonald located?

Sapphire Noel-mcdonald practices at 15635 Plum Brook Dr, Conroe, TX 77303. The listed phone number is (305) 890-7455.

What is Sapphire Noel-mcdonald's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Sapphire Noel-mcdonald enrolled in Medicare?

Yes. Sapphire Noel-mcdonald 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 organizations bill Medicare for Sapphire Noel-mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sapphire Noel-mcdonald reassigns Medicare benefits to 2 organizations: The Community Integration Project (Porter, TX) and Castle Health Care Services Inc. (Houston, TX). Each 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 Sapphire Noel-mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sapphire Noel-mcdonald accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Oscar Insurance Company, UnitedHealthcare and WellPoint list Sapphire Noel-mcdonald 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 Sapphire Noel-mcdonald was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.