MARY E NOVOTNY
NPI 1689056285
Nurse Practitioner - Gerontology in Rockford, IL

Active since June 19, 2015PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
3535 N BELL SCHOOL RD, ROCKFORD, IL 61114(779) 696-9400(779) 696-9334 Get Directions Write a Review

NPPES record last updated: December 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 17, 2024, Feb 19, 2021, Dec 21, 2018 and 1 more (4 updates tracked since 2018).

About Mary E Novotny NPPES

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

MARY E NOVOTNY (NPI 1689056285) is an individual gerontology provider in Rockford, Illinois, licensed in Illinois (209-013360) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1689056285
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMARY E NOVOTNY
Location Address3535 N BELL SCHOOL RDRockford, IL 61114-6624
Mailing AddressPo Box 78866Milwaukee, WI 53278-8866 · (779) 696-7150 · Fax (779) 696-7342
Fax(779) 696-9334
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 19, 2015
Last NPPES UpdateDecember 17, 20244 updates tracked since enumeration
NPPES CertifiedDecember 17, 2024
NPI 1689056285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in IL · 209-013360
Also ListedRegistered NurseTaxonomy 163W00000X · License 041-359227 (IL)
3535 N BELL SCHOOL RD, Rockford, IL 61114

Other Names 1

Former Name (1)Mary Johnson

Secondary Practice Location 1

Location 11340 Charles St, Suite 100Rockford, IL 61104 · Phone (779) 696-8700

Accepted 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

Mary E Novotny 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 ID1355659814
PECOS Enrollment IDI20151001002886
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.
702 services312 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.
65 services29 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services60 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.
29 services17 patients

Hospital Affiliations CMS Care Compare

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

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61114 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

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.

Pharmacist (Pharmacotherapy)
3535 N BELL SCHOOL RD
ROCKFORD, IL 61114
Internal Medicine (Hematology & Oncology)
3535 N BELL SCHOOL RD
ROCKFORD, IL 61114
Internal Medicine (Medical Oncology)
3535 N BELL SCHOOL RD
ROCKFORD, IL 61114
Physician Assistant (Medical)
3535 N BELL SCHOOL RD
ROCKFORD, IL 61114
Radiology (Radiation Oncology)
3535 N BELL SCHOOL RD
ROCKFORD, IL 61114
Radiology (Radiation Oncology)
3535 N BELL SCHOOL RD
ROCKFORD, IL 61114
Nurse Practitioner
3535 N BELL SCHOOL RD
ROCKFORD, IL 61114
Internal Medicine (Hematology & Oncology)
3535 N BELL SCHOOL RD
ROCKFORD, IL 61114

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 Mary Novotny's NPI number?

The NPI number for Mary Novotny is 1689056285. It was assigned to this individual provider in the NPPES registry on June 19, 2015. The provider is also known as Mary Johnson.

Where is Mary Novotny located?

Mary Novotny practices at 3535 N Bell School Rd, Rockford, IL 61114. The listed phone number is (779) 696-9400.

What is Mary Novotny's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Mary Novotny enrolled in Medicare?

Yes. Mary Novotny is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Novotny accept?

Health plans from Aspirus Health Plan and Quartz list Mary Novotny 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.

Is Mary Novotny affiliated with any hospitals?

According to CMS data, Mary Novotny is affiliated with Uw Health.

When was this NPI record last updated?

The NPPES record for Mary Novotny was last updated on December 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.