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TRACIE MICHELLE NOBLE NURSE PRACTITIONER
NPI 1790270544
Nurse Practitioner - Family in San Jacinto, CA

Active since June 25, 2018PECOS EnrolledAccepts Medicare Assignment
23119 SOBOBA RD, SAN JACINTO, CA 92583(951) 654-0803(951) 487-9634 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2026, Aug 7, 2023, Jun 28, 2021 and 2 more (5 updates tracked since 2018).

About Tracie Michelle Noble Nurse Practitioner NPPES

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

TRACIE MICHELLE NOBLE NURSE PRACTITIONER (NPI 1790270544) is an individual family provider in San Jacinto, California, licensed in Texas (137530) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790270544
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACIE MICHELLE NOBLECredential: NURSE PRACTITIONER
Location Address23119 SOBOBA RDSan Jacinto, CA 92583-2904
Mailing Address4115 Medical Dr Ste 301San Antonio, TX 78229-5622 · (210) 390-6911 · Fax (210) 890-8711
Phone(951) 654-0803
Fax(951) 487-9634
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 25, 2018
Last NPPES UpdateMarch 5, 20265 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1790270544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 137530
23119 SOBOBA RD, San Jacinto, CA 92583
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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

Tracie Michelle Noble Nurse Practitioner 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 ID9638172380
PECOS Enrollment IDI20200708002724
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 Reassignment

Medicare enrollment records show Tracie Noble reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Riverside-San Bernardino County Indian Health, Inc.
0.1 mi
Federally Qualified Health Center (FQHC)
23119 SOBOBA WAY
San Jacinto, CA 92583
  • Reassigned Medicare billing, Texas enrollment
  • 101 clinicians in this Medicare group
NPI 1639222144 (951) 676-6810

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 92583 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 10

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

HERLYN MCINTOSCH LEIVA
Optometrist
23119 SOBOBA RD
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
DR. NHA-HAN NGUYEN-DEO OD
Optometrist
23119 SOBOBA RD
SAN JACINTO, CA 92583
Riverside County (909) 654-0803
MEGAN NICOLE DUNNINGTON
Marriage & Family Therapist
23119 SOBOBA RD
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
KRISTA LEE ORRELL ASW
Social Worker (Clinical)
23119 SOBOBA RD
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
DR. OLUWATONI JANET ARENE MD
Family Medicine
23119 SOBOBA RD
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
DR. CECILIA TSAI OD
Optometrist
23119 SOBOBA RD
SAN JACINTO, CA 92583
Riverside County (951) 654-0803
SARA JOELYNN DANLEY MS, AMFT, APCC
Marriage & Family Therapist
23119 SOBOBA RD
SAN JACINTO, CA 92583
Riverside County (951) 654-0308
MICHELLE MARIE GUTIERREZ FNP
Nurse Practitioner (Family)
23119 SOBOBA RD
SAN JACINTO, CA 92583
Riverside County (951) 654-0803

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 Tracie Noble's NPI number?

The NPI number for Tracie Noble is 1790270544. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Tracie Noble located?

Tracie Noble practices at 23119 Soboba Rd, San Jacinto, CA 92583. The listed phone number is (951) 654-0803.

What is Tracie Noble's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tracie Noble enrolled in Medicare?

Yes. Tracie Noble 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 Tracie Noble's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracie Noble reassigns Medicare benefits to Riverside-San Bernardino County Indian Health, Inc. (San Jacinto, CA). 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 Tracie Noble'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 Tracie Noble was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.