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DR. NOELLE BAROODY PA-C, DOM
NPI 1639580749
Physician Assistant - Surgical in Grants, NM

Active since May 12, 2014PECOS EnrolledAccepts Medicare Assignment
1423 E ROOSEVELT AVE, GRANTS, NM 87020(505) 287-6500(505) 287-5393 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 30, 2023, Oct 30, 2022, Apr 29, 2022 and 3 more (6 updates tracked since 2016).

About Dr. Noelle Baroody Pa-c, Dom NPPES

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

DR. NOELLE BAROODY PA-C, DOM (NPI 1639580749) is an individual surgical provider in Grants, New Mexico, licensed in New Mexico (PA2022-0139) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Cibola General Hospital, and maintains a secondary practice location in Grants.

NPPES Registry Identity

NPI1639580749
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameDR. NOELLE BAROODYCredential: PA-C, DOM
Location Address1423 E ROOSEVELT AVEGrants, NM 87020
Mailing Address1423 E Roosevelt AveGrants, NM 87020-2245 · (505) 287-6500 · Fax (505) 287-5393
Phone(505) 287-6500
Fax(505) 287-5393
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 12, 2014
Last NPPES UpdateApril 14, 20256 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
✔ NPI 1639580749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NM · PA2022-0139
Also ListedAcupuncturistTaxonomy 171100000X · License 1140 (NM)
1423 E ROOSEVELT AVE, Grants, NM 87020
Open in Google Maps ↗

Secondary Practice Location 1

Location 11016 E Roosevelt AveGrants, NM 87020-2118 · Phone (505) 287-6500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan, Ambetter of Oklahoma.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

Dr. Noelle Baroody Pa-c, Dom 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 ID6305210261
PECOS Enrollment IDI20230516000546
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cibola General Hospital

Critical Access Hospitals · Grants, NM
OwnershipVoluntary non-profit - Private
CMS Certification Number321308
Location1016 E Roosevelt AvenueGrants, NM 87020 · Cibola County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 10

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

JONATHON MICHAEL LAVALLEY PA-C
Physician Assistant
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
CIBOLA GENERAL HOSPITAL CORPORATION
Clinic/Center (Rural Health)
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
STACEY DIMITT MD
Family Medicine
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
FRANCIS WALTER MALAJ PA-C
Physician Assistant (Medical)
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
MARTHA ELIA REYES FNP-C
Nurse Practitioner (Family)
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
SANDRA MICHELLE SUAZO CHW
Community Health Worker
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6506
LEANNA M GAISTHIA COMMUNITY HEALTH WOR
Community Health Worker
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500
LILIAN AMEH MD
Family Medicine
1423 E ROOSEVELT AVE
GRANTS, NM 87020
Cibola County (505) 287-6500

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 Baroody's NPI number?

The NPI number for Noelle Baroody is 1639580749. It was assigned to this individual provider in the NPPES registry on May 12, 2014.

Where is Noelle Baroody located?

Noelle Baroody practices at 1423 E Roosevelt Ave, Grants, NM 87020. The listed phone number is (505) 287-6500.

What is Noelle Baroody's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Noelle Baroody enrolled in Medicare?

Yes. Noelle Baroody 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 Baroody accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Superior HealthPlan and Ambetter of Oklahoma list Noelle Baroody 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.

Is Noelle Baroody affiliated with any hospitals?

According to CMS data, Noelle Baroody is affiliated with Cibola General Hospital.

When was this NPI record last updated?

The NPPES record for Noelle Baroody was last updated on April 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.