MRS. DEBBIE NOVTNEY WIETFELDT DNP
NPI 1619407863
Nurse Practitioner - Family in Bloomington, IL

Q: What is Debbie Wietfeldt's NPI number?

The NPI number for Debbie Wietfeldt is 1619407863. It was assigned to this individual provider in the NPPES registry on June 19, 2017. The provider is also known as Debbie Novotney.

Q: What is Debbie Wietfeldt'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 Debbie Wietfeldt was last updated on July 21, 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.

Active since June 19, 2017PECOS Enrolled

1111 TRINITY LN STE 111, BLOOMINGTON, IL 61704(309) 663-6461 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, May 19, 2022, Jun 19, 2017 (3 updates tracked since 2017).

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About Mrs. Debbie Novtney Wietfeldt Dnp NPPES

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

MRS. DEBBIE NOVTNEY WIETFELDT DNP (NPI 1619407863) is an individual family provider in Bloomington, Illinois, licensed in Illinois (209016043) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1619407863

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. DEBBIE NOVTNEY WIETFELDTCredential: DNP

Location Address1111 TRINITY LN STE 111Bloomington, IL 61704-8112

Mailing Address611 W. Park St, FapcUrbana, IL 61801

Phone(309) 663-6461

Sole ProprietorNo

Enumeration DateJune 19, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

NPPES CertifiedMay 4, 2022

✔ NPI 1619407863 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 IL · 209016043

1111 TRINITY LN STE 111, Bloomington, IL 61704

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Other Names 1

Former Name (1)Debbie Novotney

Secondary Practice Location 1

Location 19 Heartland Dr Ste CBloomington, IL 61704-7733 · Phone (309) 663-7642 ext. 901 · Fax (309) 663-8359

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Debbie Novtney Wietfeldt Dnp 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.

Medicare Billing Reassignments

Medicare enrollment records show Debbie Wietfeldt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Bloomington Primary Care, Ltd.

1.5 mi

Family Medicine

9 HEARTLAND DR, SUITE C
Bloomington, IL 61704

Reassigned Medicare billing, Illinois enrollment
15 clinicians in this Medicare group

NPI 1689991929 (309) 663-7642

Carle West Physician Group Inc

3.9 mi

Family Medicine

1302 FRANKLIN AVE STE 3400
Normal, IL 61761

Reassigned Medicare billing, Illinois enrollment
698 clinicians in this Medicare group

NPI 1467074138 (309) 556-8295

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

262 services72 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

214 services21 patients

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.

191 services62 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

68 services42 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

41 services12 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

35 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 3

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

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

1 supplier12 claims420 services$0.10 avg. paid by Medicare

Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6251

DME-Medical/Surgical Supplies · category DA023N

1 supplier16 claims320 services$1.91 avg. paid by Medicare

Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446

DME-Medical/Surgical Supplies · category DA023N

1 supplier15 claims1,930 services$0.38 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.

DR. JOHN JUNIL KIM DPM

Podiatrist (Foot & Ankle Surgery)