RACHEL M NOVOTNY APNP
NPI 1063935450
Nurse Practitioner - Family in Appleton, WI

Q: What is Rachel Novotny's NPI number?

The NPI number for Rachel Novotny is 1063935450. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Q: What is Rachel Novotny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Rachel Novotny was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 18, 2017PECOS EnrolledAccepts Medicare Assignment

2500 E CAPITOL DR, APPLETON, WI 54911(920) 738-4600(920) 831-0827 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2018, Jul 18, 2017 (2 updates tracked since 2017).

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About Rachel M Novotny Apnp NPPES

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

RACHEL M NOVOTNY APNP (NPI 1063935450) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (7770) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Ne Wisconsin - St Elizabeth Campus, and maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1063935450

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameRACHEL M NOVOTNYCredential: APNP

Location Address2500 E CAPITOL DRAppleton, WI 54911-8735

Mailing AddressPo Box 8003Appleton, WI 54912-8003 · (920) 830-5900 · Fax (920) 738-5787

Phone(920) 738-4600

Fax(920) 831-0827

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 18, 2017

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1063935450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 7770

2500 E CAPITOL DR, Appleton, WI 54911

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Secondary Practice Location 1

Location 11000 W Northland AveAppleton, WI 54914-1419 · Phone (866) 455-8111 · Fax (920) 831-0827

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rachel M Novotny Apnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072886183

PECOS Enrollment IDI20170911002560

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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

89 services57 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

80 services36 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

29 services29 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

24 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension NE Wisconsin - St Elizabeth Campus

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520009

Location1506 S Oneida StAppleton, WI 54915 · Outagamie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

3 suppliers11 claims28 services$6.57 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

ELIZABETH A BARTHEL

Nurse Practitioner (Family)