Active NPI
Heather D Noteboom, APRN-CNP
- Nurse Practitioner
- Eau Claire, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 15742
- Practice address
- 1221 Whipple St
Eau Claire, WI 54703-5200 - Phone
- (715) 838-3311
- NPI assigned
- Apr 22, 2024
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN210572 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 300916 | AZ | |
| Nurse Practitioner | 363L00000X | 15742 | WI | Primary |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 101750-875 | WI | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0034749 | OH |
Addresses
Primary practice location
1221 Whipple St
Eau Claire, WI 54703-5200
Mailing address
1221 Whipple St
Eau Claire, WI 54703-5200
Other practice location 1
9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hnoteboom2245396@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Whipple St
Eau Claire, WI 54703-5270
Phone (715) 838-3806
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN210572 | AZ | MD | Registered Nurse |
| 300916 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
| 0034749 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
| 101750-875 | WI | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | Past | Accepting new patients |
Locations
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
1221 Whipple St
Eau Claire, WI 54703
Phone (715) 831-0100
733 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 838-3806
Interoperability endpoints
- hnoteboom2245396@ehrdirect.mayoclinicmsg.org
Organizations & group practices 4
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.
-
dba Mayo Clinic Health System in Eau Claire
- Multi-Specialty Clinic/Center
- Eau Claire, WI
- NPI 1235588831
-
dba Mayo Clinic Health System - Oakridge in Mondovi
- Rural Health Clinic/Center
- Mondovi, WI
- NPI 1174116669
-
dba Mayo Clinic Health System-Menomonie
- Multi-Specialty Clinic/Center
- Menomonie, WI
- NPI 1235666967
-
dba Mayo Clinic Health System-Barron
- Critical Access Hospital
- Barron, WI
- NPI 1740239557
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mayo Clinic Health System in Eau Claire
- General Acute Care Hospital
- Eau Claire, WI
- NPI 1629027578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1962257998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 WHIPPLE ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 WHIPPLE ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547035200",
"telephone_number": "715-838-3311"
}
],
"practiceLocations": [
{
"address_1": "9500 Euclid Ave",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441950001",
"country_code": "US",
"telephone_number": "216-444-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOTEBOOM",
"first_name": "HEATHER",
"middle_name": "D",
"credential": "APRN-CNP",
"sole_proprietor": "NO",
"sex": "U",
"enumeration_date": "2024-04-22",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "RN210572",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "300916",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "15742",
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WI",
"license": "101750-875",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "0034749",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hnoteboom2245396@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "1221 Whipple St",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547035200",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.