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

Mary E Novotny

Individual provider Gerontology Nurse Practitioner · NPI 1689056285

Mary E Novotny is a Nurse Practitioner in Rockford, Illinois. Qualified in 2015, 11 years ago. Practices with Swedishamerican Hospital, a 387-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
Specialties on file
2

Practice location Address checks out

3535 N Bell School Rd
Rockford, IL 61114-6624
Phone: (779) 696-9400
Fax: (779) 696-9334
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1340 Charles St, Rockford, IL 61104 — (779) 696-8700

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209-013360 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041-359227 (IL)

Record details

NPI number1689056285
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 19, 2015
Last updated in NPPESDecember 17, 2024
Certification dateDecember 17, 2024
Mailing addressPo Box 78866, Milwaukee, WI 53278-8866

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Swedishamerican Hospital — 387 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford