Charis Noteboom, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

04-44716 Issued in KS

Practice address

3252 E Douglas Ave Ste 101
Wichita, KS 67208-3354

Phone

(316) 687-3275

Fax

(316) 469-5222

NPI assigned

Jun 6, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, SD2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Obstetrics/Gynecology

Education

Sanford School of Medicine of University of South Dakota, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charis.noteboom.1@19896.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avera McKennan

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
  • NPI 1699009944
  Medicare reassignment Care Compare group
• Heartland Women'S Group at Wesley LLC

  • Obstetrics & Gynecology Physician
  • Wichita, KS
  • NPI 1568774297
  Medicare reassignment NPD
• Hutchinson Regional Medical Center, Inc.

  • Hospitalist Physician
  • Hutchinson, KS
  • NPI 1972605285
  Medicare reassignment NPD
• Wesley Physicians Medical Specialties LLC

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1699069732
  Medicare reassignment NPD
• Sanford Medical Center

  • Family Medicine Physician
  • Sioux Falls, SD
  • NPI 1093090342

  Obstetrics & Gynecology

  Medicare reassignment NPD
• City of Brookings

  • Anesthesiology Physician
  • Brookings, SD
  • NPI 1932281029
  Medicare reassignment
• Hutchinson Regional Medical Center, Inc.

  • Certified Registered Nurse Anesthetist
  • Hutchinson, KS
  • NPI 1487131025
  NPD
• Hutchinson Regional Medical Center, Inc.

  • Pulmonary Disease Physician
  • Hutchinson, KS
  • NPI 1659931525

  Obstetrics & Gynecology

  NPD
• Pearl Girl Clinics LLC

  • Obstetrics & Gynecology Physician
  • Derby, KS
  • NPI 1376228049
  NPD
• Sanford Medical Center

  • Rural Health Clinic/Center
  • Lennox, SD
  • NPI 1518284264
  NPD
• Hutchinson Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Hutchinson, KS
  • NPI 1922039320
  NPD (past)
• Kansas Physicians Group, LLC

  • Surgery Physician
  • Wichita, KS
  • NPI 1831415421
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1831628635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3252 E DOUGLAS AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083354",
            "telephone_number": "316-687-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 E DOUGLAS AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672083354",
            "telephone_number": "316-687-3275",
            "fax_number": "316-469-5222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 E 29th St N Ste 320",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672262184",
            "country_code": "US",
            "telephone_number": "316-858-7100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 E Madison Ave Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Derby",
            "state": "KS",
            "postal_code": "670372300",
            "country_code": "US",
            "telephone_number": "316-669-8082",
            "fax_number": "316-669-9688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOTEBOOM",
        "first_name": "CHARIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "04-44716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Corinne Norton, PHARMD
• Kubbrisha Norwood
• Tronda Norwood, RN
• Valerie Noseng, T-LMSW
• Nicholas R Notario, RPT
• Notewellness LLC
• Kayla Elaine Nott, MS, AS, M.ED
• Novacare Outpatient Rehabilitation Inc
• Novacare Outpatient Rehabilitation Inc
• Novacare Outpatient Rehabilitation Inc

• Obstetrics & Gynecology Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Obstetrics & Gynecology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.