TRACIE MICHELLE NOBLE (NURSE PRACTITIONER) – Family Nurse Practitioner, NPI 1790270544
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for TRACIE MICHELLE NOBLE (NURSE PRACTITIONER)
PO BOX 725
CRYSTAL CITY, TX 788390725
Phone: (830) 374-2952
Fax: (830) 374-3784
Type: Mailing
210, South Avenue C, Crystal City, Zavala County, Texas, 78839, United States
CRYSTAL CITY, TX 788393834
Phone: (830) 374-2952
Fax: (830) 374-3784
Type: Location
2520 BROADWAY ST STE 100
SAN ANTONIO, TX 782151148
Phone: (210) 595-1019
Fax: (210) 251-3194
Type: Mailing
4115 MEDICAL DR STE 301
SAN ANTONIO, TX 782295622
Phone: (210) 390-6911
Fax: (210) 890-8711
Type: Mailing
23119 SOBOBA RD
SAN JACINTO, CA 925832904
Phone: (951) 654-0803
Fax: (951) 487-9634
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($28).
Total Amount
$76
General + Research + Ownership
Payments
3
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $28 |
| Lilly USA, LLC | $28 |
| Indivior Inc. | $20 |
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: 2020-07-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200708002724 | I | Nurse Practitioner | TX | TBD |
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.
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 78839)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CA | |
| - | CA | |
| Family Practice | CA | |
| Nephrology, Internal Medicine | CA | |
| Clinical Psychologist | CA | |
| - | CA | |
| - | CA | |
| O P T O M E T R Y | CA | |
| - | CA | |
| - | CA |
Reviews
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