KELLY ANN NOVOTNEY FNP
NPI 1992404636
Nurse Practitioner - Family in Des Moines, IA

Active since March 02, 2023PECOS EnrolledAccepts Medicare Assignment
699 WALNUT ST STE 400, DES MOINES, IA 50309(188) 759-8007 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 24, 2026, Nov 14, 2024, Aug 17, 2024 and 2 more (5 updates tracked since 2023).

About Kelly Ann Novotney Fnp NPPES

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

KELLY ANN NOVOTNEY FNP (NPI 1992404636) is an individual family provider in Des Moines, Iowa, licensed in Iowa (A173617) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains 7 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992404636
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY ANN NOVOTNEYCredential: FNP
Location Address699 WALNUT ST STE 400Des Moines, IA 50309-3962
Mailing Address507 Chesopeian TrlVirginia Beach, VA 23452-7740 · (773) 680-6423
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 2, 2023
Last NPPES UpdateApril 24, 20265 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1992404636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IA · A173617✔ Licensed in WY · 51998✔ Licensed in FL · APRN11032496✔ Licensed in IL · 209027322✔ Licensed in DC · NP500015362✔ Licensed in CO · C-RXN.0101519-C-NP✔ Licensed in VA · 0024186645✔ Licensed in NM · 73124
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AC006813 (MD)
699 WALNUT ST STE 400, Des Moines, IA 50309

Other Names 1

Former Name (1)Kelly Hodgson Np

Secondary Practice Locations 7

Location 11100 H St NW Ste 1100Washington, DC 20005-5967 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 221660 W Field PkwyDeer Park, IL 60010-7265 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 32800 Eisenhower Ave Ste 220Alexandria, VA 22314-4587 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 4507 Chesopeian TrlVirginia Beach, VA 23452-7740 · Phone (773) 680-6423
Location 5215 Cowboy WayEdgewood, NM 87015-9616 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 6204 12th St Ste 220Des Moines, IA 50309-4247 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 71 Research Ct Ste 450Rockville, MD 20850-6252 · Phone (888) 803-3370 · Fax (888) 803-3331

Other Identifiers 1

Other0024186645VA · Virginia Board Of Nursing

Accepted Insurance

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 Ann Novotney Fnp 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 ID7416314703
PECOS Enrollment IDI20230531003476, I20251001001114, I20251017000369, I20260114001218, I20260129003709, I20260224003412, I20260408000539
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

5

Medicare enrollment records show Kelly Novotney reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Daniel Funsch Jr MD PC
  • 124 clinicians in this Medicare group
Behavioral Neurology & Neuropsychiatry
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, District of Columbia, Florida, Illinois, Maryland, New Mexico and Virginia enrollments
  • 4 clinicians in this Medicare group
Emergency Medicine
885 3RD AVE FL 28
New York, NY 10022
  • Reassigned Medicare billing, District of Columbia, Illinois, Maryland, New Mexico and Virginia enrollments
  • 22 clinicians in this Medicare group
Family Medicine
400 N TAMPA ST FL 15
Tampa, FL 33602
  • Reassigned Medicare billing, District of Columbia, Iowa, Illinois and New Mexico enrollments
  • 54 clinicians in this Medicare group
Family Medicine
1201 NE 175TH ST
Miami, FL 33162
  • Reassigned Medicare billing, Florida, Illinois, New Mexico and Virginia enrollments
  • 115 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50309 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.

In Home Supportive Care
699 WALNUT ST STE 400
DES MOINES, IA 50309
Counselor (Mental Health)
699 WALNUT ST STE 400
DES MOINES, IA 50309
Behavior Technician
699 WALNUT ST STE 400
DES MOINES, IA 50309
Behavior Technician
699 WALNUT ST STE 400
DES MOINES, IA 50309
Behavior Technician
699 WALNUT ST STE 400
DES MOINES, IA 50309
Behavior Technician
699 WALNUT ST STE 400
DES MOINES, IA 50309
Durable Medical Equipment & Medical Supplies
699 WALNUT ST STE 400
DES MOINES, IA 50309
Behavior Technician
699 WALNUT ST STE 400
DES MOINES, IA 50309

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 Novotney's NPI number?

The NPI number for Kelly Novotney is 1992404636. It was assigned to this individual provider in the NPPES registry on March 2, 2023. The provider is also known as Kelly Hodgson Np.

Where is Kelly Novotney located?

Kelly Novotney practices at 699 Walnut St Ste 400, Des Moines, IA 50309. The listed phone number is (188) 759-8007.

What is Kelly Novotney's specialty?

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

Is Kelly Novotney enrolled in Medicare?

Yes. Kelly Novotney 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 Novotney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Novotney reassigns Medicare benefits to 5 organizations: Daniel Funsch Jr, M.D., P.C. (New York, NY), Dr Rebman Bh LLC (New York, NY), Ivy Medical Group PLLC (New York, NY), Circle Medical Care Group PA (Tampa, FL) and Dr Rebman Medical PA (Miami, FL). 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 Novotney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelly Novotney accept?

Health plans from UnitedHealthcare list Kelly Novotney 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 Novotney was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.