MARILYN NOBLE (P.A.) – Physician Assistant, NPI 1417946807

MARILYN NOBLE (P.A.) is a healthcare provider. based in Lubbock, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA00772 (TX). The NPI Number for MARILYN NOBLE (P.A.) is 1417946807

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
MARILYN NOBLE (P.A.)
NPI
1417946807
Phone
(806) 743-2898
Address
PO BOX 5865
Enumeration Date
18 October 2005
Last Update Date
28 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8063549540
Graduation Year
1994 (32 years ago)
PAC ID
4688775323
Group Practice PAC ID
6103166566
Professional Enrollment ID
I20070724000697
Address ID
TX791062109AM1901XDRXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for MARILYN NOBLE (P.A.)

  • Lubbock Post Office, 1515, Crickets Avenue, Lubbock, Lubbock County, Texas, 79402, United States

    LUBBOCK, TX 794085865

    Phone: (806) 743-2898

    Fax: (806) 743-2787

    Type: Mailing

  • University Medical Center, 602, Indiana Avenue, Lubbock, Lubbock County, Texas, 79415, United States

    LUBBOCK, TX 794153364

    Phone: (806) 775-8600

    Fax: (806) 743-3148

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,089.

Total Amount is formed as General ($1,089) + Research ($0) + Ownership ($0) = $1,089.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($363).

Total Amount

$1,089

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,089

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-07-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070724000697IPhysician AssistantTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 79408)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103166566View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Does MARILYN NOBLE (P.A.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARILYN NOBLE (P.A.) uses 1417946807.
Is MARILYN NOBLE (P.A.) listed as active for patients and plans?
The listing shows MARILYN NOBLE (P.A.) as active in the NPI system.
What taxonomy line describes MARILYN NOBLE (P.A.)?
For research purposes, treat MARILYN NOBLE (P.A.) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for MARILYN NOBLE (P.A.)?
MARILYN NOBLE (P.A.)'s geographic hint is Lubbock, Texas in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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