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SARA BETH POURNOOR LICSW
NPI 1972227544
Social Worker - Clinical in Minneapolis, MN

Active since September 28, 2022PECOS Enrolled
1300 S 2ND ST, MINNEAPOLIS, MN 55454(612) 625-1500 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sara Beth Pournoor Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA BETH POURNOOR LICSW (NPI 1972227544) is an individual clinical provider in Minneapolis, Minnesota, licensed in Minnesota (22891) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972227544
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSARA BETH POURNOORCredential: LICSW
Location Address1300 S 2ND STMinneapolis, MN 55454-1075
Mailing Address1300 S 2nd StMinneapolis, MN 55454-1075 · (612) 625-1500
Phone(612) 625-1500
Sole ProprietorNo
Enumeration DateSeptember 28, 2022
NPPES CertifiedSeptember 28, 2022
✔ NPI 1972227544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 22891
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1300 S 2ND ST, Minneapolis, MN 55454
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sara Beth Pournoor Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sara Pournoor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairview Express Care
0.7 mi
Multi-Specialty
2312 S 6TH ST STE F105
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
NPI 1053952606 (612) 273-3565

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 55454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY L SEIBEL PHD, LP
Psychologist
1300 S 2ND ST, #180
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-1500
BEATRICE ROBINSON PHD
Psychologist
1300 S 2ND ST, STE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-1500
DR. KATHERINE G SPENCER PHD
Psychologist (Clinical)
1300 S 2ND ST, SUITE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-8755
WALTER O BOCKTING PHD
Psychologist (Clinical)
1300 S 2ND ST, SUITE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-1500
REBECCA STINSON PHD
Psychologist (Counseling)
1300 S 2ND ST, SUITE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-1500
DR. RUSSELL VINCENT LUEPKER M.D.
General Acute Care Hospital
1300 S 2ND ST, SUITE 300
MINNEAPOLIS, MN 55454
Hennepin County (612) 624-6362
DR. BRAD RYAN NEDEROSTEK PSY.D.
Psychologist (Health)
1300 S 2ND ST, SUITE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-1500
DR. BRENNA M WERNERSBACH PH.D.
Counselor (Mental Health)
1300 S 2ND ST, SUITE 180
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-1500

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 Sara Pournoor's NPI number?

The NPI number for Sara Pournoor is 1972227544. It was assigned to this individual provider in the NPPES registry on September 28, 2022.

Where is Sara Pournoor located?

Sara Pournoor practices at 1300 S 2nd St, Minneapolis, MN 55454. The listed phone number is (612) 625-1500.

What is Sara Pournoor's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Sara Pournoor enrolled in Medicare?

Yes. Sara Pournoor is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sara Pournoor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sara Pournoor reassigns Medicare benefits to Fairview Express Care (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 Sara Pournoor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sara Pournoor was last updated on September 28, 2022. 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.