MR. FREDRIC E NOLLER PA-C
NPI 1790127934
Physician Assistant in Cherry Hill, NJ

Q: What is Fredric Noller's NPI number?

The NPI number for Fredric Noller is 1790127934. It was assigned to this individual provider in the NPPES registry on July 29, 2013.

Q: What is Fredric Noller's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Fredric Noller was last updated on November 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 29, 2013PECOS EnrolledAccepts Medicare Assignment

107 BERLIN RD, CHERRY HILL, NJ 08034(856) 429-1800(856) 429-1081 Get Directions Write a Review

NPPES record last updated: November 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Fredric E Noller Pa-c NPPES

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

MR. FREDRIC E NOLLER PA-C (NPI 1790127934) is an individual physician assistant in Cherry Hill, New Jersey, licensed in New Jersey (25MP00314800) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1790127934

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. FREDRIC E NOLLERCredential: PA-C

Location Address107 BERLIN RDCherry Hill, NJ 08034-3526

Mailing Address107 Berlin RdCherry Hill, NJ 08034-3526 · (856) 429-1800 · Fax (856) 429-1081

Phone(856) 429-1800

Fax(856) 429-1081

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 29, 2013

Last NPPES UpdateNovember 21, 2013

✔ NPI 1790127934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NJ · 25MP00314800

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

107 BERLIN RD, Cherry Hill, NJ 08034

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN314344CJANJ

Medicaid365793NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Mr. Fredric E Noller Pa-c 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 ID2567697980

PECOS Enrollment IDI20250923004388

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.

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370028

Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08034 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

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$76.45 typical visit price

range $20.08 – $150.98

Typical copayment $19.11 (range $5.02 – $37.74)

Most-billed visit code 99213

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 10

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

PULMONARY AND SLEEP ASSOCIATES OF SOUTH JERSEY, LLC

Internal Medicine (Pulmonary Disease)