Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Leesa Rae Novotny, MD

Individual provider Family Medicine Physician · NPI 1225483563

Dr. Leesa Rae Novotny, MD is a Family Practice in Montevideo, Minnesota. Qualified in 2015, 11 years ago. Practices with Ccm Health, a 62-clinician group, works from 2 locations and offers telehealth. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

824 N 11th St
Montevideo, MN 56265
Phone: (320) 269-8877
Fax: (320) 269-8186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1304 E Lincoln Ave, Montevideo, MN 56265-2019 — (320) 339-2199

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 64617 (MN)

Record details

NPI number1225483563
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 24, 2016
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ccm Health — 62 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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