Individual provider Active NPI

Danielle Novotny, PA

  • Physician Assistant
  • Lakeville, MN
National Provider Identifier
1326733668
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
14351 Issued in MN
Practice address
9974 214TH St W
Lakeville, MN 55044-1913
Phone
(952) 469-0500
NPI assigned
Apr 11, 2023
Last updated
Apr 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 14351 MN Primary

Addresses

Primary practice location

9974 214TH St W
Lakeville, MN 55044-1913

Mailing address

9974 214TH St W
Lakeville, MN 55044-1913

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230520000151 MN Practitioner - Physician Assistant 9931565793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northfield HospitalGroup PAC ID 2567372998, 121 clinicians

Practice addresses (Care Compare)

2000 N a Ve
Northfieldm, MN 55057-1498

2000 N Ave
Northfield, MN 55057-1498
Phone (507) 646-1478

2014 Jefferson Rd
Suite C
Northfield, MN 55057-3251
Phone (507) 646-6700

4645 Knutsen Dr
Farmington, MN 55024-8455
Phone (651) 460-2300

9974 214TH St W
Lakeville, MN 55044-1913
Phone (952) 469-0500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1326733668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9974 214TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550441913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9974 214TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550441913",
            "telephone_number": "952-469-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVOTNY",
        "first_name": "DANIELLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "14351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.