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KELLY MARINE PNP
NPI 1508281619
Nurse Practitioner - Pediatrics in Iowa City, IA

Active since February 26, 2014PECOS Enrolled
200 HAWKINS DR, IOWA CITY, IA 52242(319) 384-5108(319) 356-8443 Get Directions Write a Review

NPPES record last updated: March 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2022, Apr 7, 2021, Dec 5, 2019 and 1 more (4 updates tracked since 2019).

About Kelly Marine Pnp NPPES

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

KELLY MARINE PNP (NPI 1508281619) is an individual pediatrics provider in Iowa City, Iowa, licensed in Iowa (C118529) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock Afb.

NPPES Registry Identity

NPI1508281619
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKELLY MARINECredential: PNP
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 384-5108 · Fax (319) 356-8443
Phone(319) 384-5108
Fax(319) 356-8443
Sole ProprietorNo
Enumeration DateFebruary 26, 2014
Last NPPES UpdateMarch 9, 20224 updates tracked since enumeration
NPPES CertifiedMarch 9, 2022
✔ NPI 1508281619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IA · C118529
Also ListedRegistered NurseTaxonomy 163W00000X · License 118529 (IA)
Also ListedNurse PractitionerTaxonomy 363L00000X · License C118529 (IA)
200 HAWKINS DR, Iowa City, IA 52242
Open in Google Maps ↗

Secondary Practice Location 1

Location 11090 Arnold DrLittle Rock AFB, AR 72099-4933 · Phone (501) 987-3080 · Fax (501) 987-7233

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelly Marine Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Marine's NPI number?

The NPI number for Kelly Marine is 1508281619. It was assigned to this individual provider in the NPPES registry on February 26, 2014.

Where is Kelly Marine located?

Kelly Marine practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 384-5108.

What is Kelly Marine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Kelly Marine enrolled in Medicare?

Yes. Kelly Marine is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Marine accept?

Health plans from Medica and Sanford Health Plan list Kelly Marine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kelly Marine was last updated on March 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.