Active NPI
Novus Iowa Professional Corporation
- Anesthesiology Physician
- Pella, IA
National Provider Identifier
1992379598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- NOVUS IOWA PROFESSIONAL CORPORATION
- Practice address
- 404 Jefferson St
Pella, IA 50219-1257 - Phone
- (641) 628-3150
- NPI assigned
- May 18, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candy Bayack
- Title
- Director of Facilities Integration
- Phone
- (404) 419-0202
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary | ||
| Certified Registered Nurse Anesthetist | 367500000X |
Addresses
Primary practice location
404 Jefferson St
Pella, IA 50219-1257
Mailing address
PO Box 7142
Indianapolis, IN 46207-7142
Other practice location 1
403 1st St SE
Belmond, IA 50421-1201
Phone (641) 444-3223
Other practice location 2
220 Essie Davison Dr
Clarinda, IA 51632-2915
Phone (404) 419-0230
Other practice location 3
1316 S Main St
Clarion, IA 50525-2019
Phone (844) 474-4321
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1740495654
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1447468798
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1336451673
-
- Diagnostic Radiology Physician
- Edina, MN
- NPI 1710354352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787184000000",
"number": "1992379598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7142",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462077142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 JEFFERSON ST",
"city": "PELLA",
"state": "IA",
"postal_code": "502191257",
"telephone_number": "641-628-3150"
}
],
"practiceLocations": [
{
"address_1": "403 1st St SE",
"address_purpose": "LOCATION",
"city": "Belmond",
"state": "IA",
"postal_code": "504211201",
"country_code": "US",
"telephone_number": "641-444-3223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "220 Essie Davison Dr",
"address_purpose": "LOCATION",
"city": "Clarinda",
"state": "IA",
"postal_code": "516322915",
"country_code": "US",
"telephone_number": "404-419-0230",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1316 S Main St",
"address_purpose": "LOCATION",
"city": "Clarion",
"state": "IA",
"postal_code": "505252019",
"country_code": "US",
"telephone_number": "844-474-4321",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NOVUS IOWA PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-18",
"last_updated": "2026-08-20",
"certification_date": "2026-08-20",
"status": "A",
"authorized_official_last_name": "BAYACK",
"authorized_official_first_name": "CANDY",
"authorized_official_title_or_position": "DIRECTOR OF FACILITIES INTEGRATION",
"authorized_official_telephone_number": "404-419-0202"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pella, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.