Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elisabeth L Noelke, MD, PA

Individual provider Pediatrics Physician · NPI 1700955390

Elisabeth L Noelke, MD, PA is a Family Practice in San Angelo, Texas. Qualified in 1990, 36 years ago. Practices with Shannon Clinic, a 547-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
36
Licensed in
TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3501 Knickerbocker Rd
San Angelo, TX 76904-7610
Phone: (325) 947-6960
Fax: (800) 809-9641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence J0164 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence J0164 (TX)

Record details

NPI number1700955390
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PA
Sole proprietorNo
NPI enumeratedNovember 7, 2006
Last updated in NPPESJanuary 27, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Shannon Clinic — 547 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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