ELISABETH L NOELKE MD, PA
NPI 1700955390
Family Medicine in San Angelo, TX

Q: What is Elisabeth Noelke's NPI number?

The NPI number for Elisabeth Noelke is 1700955390. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Q: What is Elisabeth Noelke's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Elisabeth Noelke was last updated on January 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment

3501 KNICKERBOCKER RD, SAN ANGELO, TX 76904(325) 947-6960(800) 809-9641 Get Directions Write a Review

NPPES record last updated: January 27, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 27, 2019, Apr 13, 2018 (2 updates tracked since 2018).

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About Elisabeth L Noelke Md, Pa NPPES

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

ELISABETH L NOELKE MD, PA (NPI 1700955390) is an individual family medicine provider in San Angelo, Texas, licensed in Texas (J0164) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Shannon Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1700955390

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELISABETH L NOELKECredential: MD, PA

Location Address3501 KNICKERBOCKER RDSan Angelo, TX 76904-7610

Mailing Address223 S Abe StSan Angelo, TX 76903-6305 · (325) 212-9236 · Fax (800) 809-9641

Phone(325) 947-6960

Fax(800) 809-9641

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateNovember 7, 2006

Last NPPES UpdateJanuary 27, 20192 updates tracked since enumeration

✔ NPI 1700955390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · J0164

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPediatricsTaxonomy 208000000X · License J0164 (TX)

3501 KNICKERBOCKER RD, San Angelo, TX 76904

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Other Identifiers 2

Medicaid111604802TX

Other8F22613TX · Medicare Ptan Rendering Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Elisabeth L Noelke Md, 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 ID8729173141

PECOS Enrollment IDI20071001000366

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.

Shannon Medical Center

Acute Care Hospitals · San Angelo, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450571

Location120 E Harris Ave.San Angelo, TX 76903 · Tom Green County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76904 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 20

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

DENNIS DURHAM MD

Internal Medicine