Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Jerrol Noller MD Ltd

Medical Specialty Clinic/Center in Coon Rapids, MN · enumerated 2008 · authorized official Jerrol Noller, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1821257593

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Registry record

Entity type Organization (Type 2)

Legal business name Jerrol Noller MD Ltd

Practice address 3863 Coon Rapids Blvd Nw, Coon Rapids, MN, 55433

Phone (763) 433-8300

Fax (763) 433-8308

Enumeration date Jun 6, 2008

Last updated in NPPES Jun 6, 2008

Taxonomy & classification

261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities · License 23068 (MN) Primary

Authorized official

Name Jerrol Noller

Title President

Phone (763) 427-6897

Other identifiers

Identifier	Type	State	Issuer
774888400	Medicaid	MN	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-06-06. Verify at npiregistry.cms.hhs.gov.

Where is Jerrol Noller MD Ltd located?

The practice location on file with NPPES is in Coon Rapids, MN.

Providers at this address

Browse all →

Jerrol Noller Internal Medicine Physician · Coon Rapids, MN NPI 1245343011 Bryant R. Beehler, D.O., Ltd. Rehabilitation Clinic/Center · Coon Rapids, MN NPI 1760693154

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-06.