Jaclyn Noto, CNM, APRN is a medicare enrolled "Advanced Practice Midwife" physician in Evanston, Illinois. Her current practice location is
2650 Ridge Ave, Evanston, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 570-4625.
Jaclyn Noto is licensed to practice in Illinois (license number 277002618) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912561267.
Physician's Profile
| Full Name | Jaclyn Noto |
|---|
| Gender | Female |
|---|
| Speciality | Advanced Practice Midwife |
|---|
| Location | 2650 Ridge Ave, Evanston, Illinois |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912561267
- Provider Enumeration Date: 04/23/2019
- Last Update Date: 02/19/2026
Medicare PECOS Information:
- PECOS PAC ID: 7012246820
- Enrollment ID: I20190904000500
Medical Identifiers
Medical identifiers for Jaclyn Noto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912561267 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 277002618 (Illinois) | Secondary |
| 367A00000X | Advanced Practice Midwife | 277002618 (Illinois) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277002618 (Illinois) | Secondary |
| 176B00000X | Midwife | 277002618 (Illinois) | Secondary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | 209.019162 (Illinois) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jaclyn Noto allows following entities to bill medicare on her behalf.
| Entity Name | Endeavor Health Medical Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jaclyn Noto is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jaclyn Noto, CNM, APRN 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Jaclyn Noto, CNM, APRN 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: (847) 570-4625 |
Reviews and Comments