MARY E NOVOTNY NPI 1689056285

NPI Information

  • NPI: 1689056285
  • Provider Name: MARY E NOVOTNY
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3535 N BELL SCHOOL RD
    ROCKFORD, IL
    ZIP 61114
  • Phone: (779) 696-9400

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NPI Details

Mary E Novotny is a gerontology nurse practitioner in Rockford, IL with 11 years of experience. Mary E Novotny NPI is 1689056285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3535 N BELL SCHOOL RD
ROCKFORD, IL
ZIP 61114-624
Phone: (779) 696-9400
Fax: (779) 696-9334

The NPI 1689056285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)

The enumeration date for this NPI number is 6/19/2015 and was last updated on 12/17/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontology209-013360ILLINOISYes
2163W00000XRegistered Nurse041-359227ILLINOISNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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