PETER LYLE NOTEBOOM LICSW
NPI 1952996894
Social Worker - Clinical in Minneapolis, MN
About Peter Lyle Noteboom Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER LYLE NOTEBOOM LICSW (NPI 1952996894) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (27334) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Peter Lyle Noteboom Licsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Peter Noteboom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Minneapolis, MN 55411
- Reassigned Medicare billing, Minnesota enrollment
- 192 clinicians in this Medicare group
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 55411 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55411
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 Peter Noteboom's NPI number?
The NPI number for Peter Noteboom is 1952996894. It was assigned to this individual provider in the NPPES registry on March 3, 2021.
Where is Peter Noteboom located?
Peter Noteboom practices at 1313 Penn Ave N, Minneapolis, MN 55411. The listed phone number is (612) 543-2500.
What is Peter Noteboom's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Peter Noteboom enrolled in Medicare?
Yes. Peter Noteboom 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 Peter Noteboom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Noteboom reassigns Medicare benefits to Hennepin County (Minneapolis, MN). 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 Peter Noteboom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Peter Noteboom accept?
Health plans from HealthPartners and Medica list Peter Noteboom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Peter Noteboom was last updated on November 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Peter Lyle Noteboom, LICSW · NPI 1952996894
Clinical provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 3, 2021.
## Identity
- **NPI:** 1952996894 (Entity type: Individual)
- **Enumerated:** March 3, 2021
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 27334 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1313 PENN AVE N, Minneapolis, MN 55411-3047
- **Phone:** (612) 543-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Hennepin County (NPI 1215951751, Minneapolis, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 17, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1952996894) · Data from the CMS NPPES public registry.