Kelly Ann Novotney, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A173617 Issued in IA

Practice address

699 Walnut St Ste 400
Des Moines, IA 50309-3962

Phone

(188) 759-8007

NPI assigned

Mar 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 1

• Kelly Hodgson Former name

Medicare fee-for-service enrollment

Enrolled in IL, DC, MD, FL, VA, NM, IA7 enrollments

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 7

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ivy Medical Group PLLCGroup PAC ID 4981097797, 120 clinicians

Circle Medical Care Group PAGroup PAC ID 0345769253, 42 clinicians

Daniel Funsch Jr MD PCGroup PAC ID 1951801836, 139 clinicians

Dr Rebman Medical PAGroup PAC ID 3678087400, 88 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uptown Rehabilitation Center Nursing home, Albuquerque, NM, CCN 325042
• Doctors Community Rehabilitation and Patient Care Nursing home, Lanham, MD, CCN 215108
• Casa Real Nursing home, Santa Fe, NM, CCN 325038
• Albuquerque Heights Healthcare and Rehabilitation Nursing home, Albuquerque, NM, CCN 325069
• Belen Meadows Healthcare and Rehabilitation Center Nursing home, Belen, NM, CCN 325068

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Circle Medical Care Group PA

  • Family Medicine Physician
  • Tampa, FL
  • NPI 1972358760

  DC, IA, IL

  Medicare reassignment Care Compare group NPD
• Daniel Funsch Jr, M.D., P.C.

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1316784580

  FL

  Medicare reassignment Care Compare group NPD
• Dr Rebman Medical PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1669276689

  IL, NM, VA

  Medicare reassignment Care Compare group NPD
• Ivy Medical Group PLLC

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1700558798

  DC, IL, MD, NM, VA

  Medicare reassignment Care Compare group NPD
• Dr Rebman BH LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • New York, NY
  • NPI 1114894540

  DC, FL, IL, MD, NM, VA

  Medicare reassignment NPD
• Community Health Providers PLLC

  • Family Medicine Physician
  • Homewood, IL
  • NPI 1184546467
  NPD (past)

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

• 1650 Galisteo Street Operations LLC

  • Skilled Nursing Facility
  • Santa Fe, NM
  • NPI 1629556188

  Nursing home

  Care Compare affiliation
• Albuquerque Heights Healthcare and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Albuquerque, NM
  • NPI 1629260781

  Nursing home

  Care Compare affiliation
• Belen Meadows Healthcare and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Belen, NM
  • NPI 1528250685

  Nursing home

  Care Compare affiliation
• Magnolia Gardens LLC

  • Skilled Nursing Facility
  • Lanham, MD
  • NPI 1891737573

  Nursing home

  Care Compare affiliation
• St. Theresa Healthcare and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Albuquerque, NM
  • NPI 1700078870

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1992404636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 CHESOPEIAN TRL",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527740",
            "telephone_number": "773-680-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 WALNUT ST STE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093962",
            "telephone_number": "188-759-8007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "507 Chesopeian Trl",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527740",
            "country_code": "US",
            "telephone_number": "773-680-6423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Eisenhower Ave Ste 220",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223144587",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Research Ct Ste 450",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208506252",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21660 W Field Pkwy",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "IL",
            "postal_code": "600107265",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 12th St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503094247",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 H St NW Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200055967",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 Cowboy Way",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "NM",
            "postal_code": "870159616",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVOTNEY",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "51998",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11032496",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209027322",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A173617",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "NP500015362",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-RXN.0101519-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024186645",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MD",
            "license": "AC006813",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "73124",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA BOARD OF NURSING",
            "identifier": "0024186645",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "HODGSON",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Norton, ARNP
• Nova Physician Group PLLC
• Ethan Grant Novacinski
• Paul Henry Novak, M.D.
• Daniel Scott Novinski, MD
• Mary Carolyne Nowell-Parsons
• William Nowysz, DO
• Katherine Nucaro, LISW
• Paul Lyndon Nurmi, D.O.
• Nurse in the House, Inc.

• Family Nurse Practitioner in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.