KELLY MILBERG NOVAK CRNA
NPI 1952798845
Nurse Anesthetist, Certified Registered in Rochester, MN

Active since April 19, 2015PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(251) 128-4507 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 15, 2020, Jun 14, 2019, May 23, 2019 and 2 more (5 updates tracked since 2018).

About Kelly Milberg Novak Crna NPPES

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

KELLY MILBERG NOVAK CRNA (NPI 1952798845) is an individual nurse anesthetist, certified registered in Rochester, Minnesota, licensed in Minnesota (2296) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Hospital Rochester, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952798845
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKELLY MILBERG NOVAKCredential: CRNA
Location Address200 1ST ST SWRochester, MN 55905
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2015
Enumeration DateApril 19, 2015
Last NPPES UpdateOctober 15, 20205 updates tracked since enumeration
NPPES CertifiedOctober 15, 2020
✔ NPI 1952798845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MN · 2296✔ Licensed in MI · 4704266242
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704266242 (MI)
200 1ST ST SW, Rochester, MN 55905

Secondary Practice Locations 2

Location 122101 Moross RdDetroit, MI 48236 · Phone (734) 474-5019
Location 236475 Five Mile RdLivonia, MI 48154-1971 · Phone (734) 655-2031

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Milberg Novak Crna 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 ID6002127982
PECOS Enrollment IDI20190619001234
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

4

Medicare enrollment records show Kelly Novak reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
36475 5 MILE RD
Livonia, MI 48154
  • Reassigned Medicare billing, Michigan enrollment
  • 97 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
22101 MOROSS RD, SUITE 101
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • 132 clinicians in this Medicare group
Anesthesiology
6225 N STATE HIGHWAY 161 STE 200
Irving, TX 75038
  • Reassigned Medicare billing, Michigan enrollment
  • 283 clinicians in this Medicare group

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 3

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.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
27 services27 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
21 services21 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mayo Clinic Hospital Rochester

Acute Care Hospitals · Rochester, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240010
Location1216 Second Street SouthwestRochester, MN 55902 · Olmsted County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Novak's NPI number?

The NPI number for Kelly Novak is 1952798845. It was assigned to this individual provider in the NPPES registry on April 19, 2015.

Where is Kelly Novak located?

Kelly Novak practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (251) 128-4507.

What is Kelly Novak's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Kelly Novak enrolled in Medicare?

Yes. Kelly Novak 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.

Which organizations bill Medicare for Kelly Novak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Novak reassigns Medicare benefits to 4 organizations: Mayo Clinic (Rochester, MN), St Mary Mercy Hospital Crna (Livonia, MI), Henry Ford Health St. John Hospital (Detroit, MI) and Northstar Anesthesia Of Michigan II PC (Irving, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kelly Novak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Novak affiliated with any hospitals?

According to CMS data, Kelly Novak is affiliated with Mayo Clinic Hospital Rochester.

When was this NPI record last updated?

The NPPES record for Kelly Novak was last updated on October 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.