Individual provider Active NPI

Kelly R Horn

  • Advanced Practice Midwife
  • Coralville, IA
National Provider Identifier
1912393570
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
B180964 Issued in IA
Practice address
105 E 9TH St
Coralville, IA 52241-2209
Phone
(319) 651-5173
Fax
(319) 467-2510
NPI assigned
Apr 10, 2015
Last updated
Nov 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X B180964 IA Primary
Midwife 176B00000X 09000257A IN
Nurse Practitioner 363L00000X 71005416A IN

Addresses

Primary practice location

105 E 9TH St
Coralville, IA 52241-2209

Mailing address

105 E 9TH St
Coralville, IA 52241-2209
Phone (319) 651-5173

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 651-5173

Other practice location 2

1360 N Dodge St
Iowa City, IA 52245-6114
Phone (319) 651-5173

Other practice location 3

540 E Jefferson St Ste 201
Iowa City, IA 52245-2460
Phone (319) 356-2294

Other practice location 4

411 10th St SE Ste 1200
Cedar Rapids, IA 52403-2449
Phone (319) 651-5173

Other practice location 5

444 E Polk St
Washington, IA 52353-1237
Phone (319) 651-5173

Other practice location 6

3465 Mulberry Ave
Muscatine, IA 52761-2324
Phone (319) 651-5173

Other practice location 7

500 E Market St
Iowa City, IA 52245-2633
Phone (319) 651-5173

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211001840 IA Practitioner - Certified Nurse Midwife (CNM) 0941529309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

105 E 9TH St
University of Iowa Health Care Medical Cent
Coralville, IA 52241-2209
Phone (319) 467-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
09000257AINMDMidwife
71005416AINMDNurse Practitioner
B180964IAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Dec 4, 2024 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

411 10th St SE
Ste 1200
Cedar Rapids, IA 52403
Phone (319) 362-3434

2769 Heartland Dr
Ste 201
Coralville, IA 52241
Phone (319) 337-3139

105 E 9th St
Iowa City, IA 52241
Phone (319) 467-2000

1360 N Dodge St
Iowa City, IA 52245
Phone (319) 351-1448

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

540 E Jefferson St
Ste 201
Iowa City, IA 52245
Phone (319) 338-5451

3465 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-9303

444 E Polk St
Washington, IA 52353
Phone (319) 653-6601

Organizations & group practices 2

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": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1912393570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412209",
            "telephone_number": "319-651-5173",
            "fax_number": "319-467-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412209",
            "telephone_number": "319-651-5173",
            "fax_number": "319-467-2510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-651-5173",
            "fax_number": "319-467-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1360 N Dodge St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522456114",
            "country_code": "US",
            "telephone_number": "319-651-5173",
            "fax_number": "319-467-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 E Jefferson St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452460",
            "country_code": "US",
            "telephone_number": "319-356-2294",
            "fax_number": "319-545-4570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 10th St SE Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524032449",
            "country_code": "US",
            "telephone_number": "319-651-5173",
            "fax_number": "319-467-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 E Polk St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IA",
            "postal_code": "523531237",
            "country_code": "US",
            "telephone_number": "319-651-5173",
            "fax_number": "319-467-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3465 Mulberry Ave",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "527612324",
            "country_code": "US",
            "telephone_number": "319-651-5173",
            "fax_number": "319-467-2510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Market St",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452633",
            "country_code": "US",
            "telephone_number": "319-651-5173",
            "fax_number": "319-467-2510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORN",
        "first_name": "KELLY",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-10",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IA",
            "license": "B180964",
            "primary": true
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "IN",
            "license": "09000257A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71005416A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.