Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366941189 Individual Practitioner Male Practitioner

Todd Noack

Peer Specialist • De Witt, IA

Professional Overview & Biography Verified Profile Summary

Todd Noack is a registered healthcare professional specializing in Peer Specialist in De Witt, IA. Practice services are available at 222 12TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

222 12th St

De Witt, IA 527421116

Telephone 5637263244

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in De Witt, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in De Witt, IA (29 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License IA PR16012

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
82-0730805 (IA)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 07, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2018

Registered at 222 12TH ST, DE WITT, IA 527421116 (Tel: 5637263244)

📍
Updated Business Mailing Address February 07, 2018

Registered at 414 6TH ST, DE WITT, IA 527421722 (Tel: 5637263244)

👤
Provider Name / Credentials Updated February 07, 2018

Recorded as TODD NOACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2018

Peer Specialist (License #PR16012 in IA)

🟢
Initial NPI Registration & Enumeration February 07, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366941189
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 07, 2018
Last Update: June 11, 2019
Sole Proprietor: No

Mailing Address

414 6th St

De Witt, IA 527421722

Phone: 5637263244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.