Addie Noel Ketelsen, ARNP - Medicare Nurse Practitioner in Cedar Rapids, IA

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Addie Noel Ketelsen, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Cedar Rapids, Iowa. She graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Lukes Methodist Hospital, Physicians Clinic Of Iowa Pc and her current practice location is 202 10th St Se Ste 100, Cedar Rapids, Iowa. You can reach out to her office (for appointments etc.) via phone at (319) 363-8171.

Addie Noel Ketelsen is licensed to practice in Iowa (license number A-113254) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1043519499.

Contact Information

Addie Noel Ketelsen, ARNP
202 10th St Se Ste 100,
Cedar Rapids, IA 52403-2424
(319) 363-8171
Not Available

Map and Direction




Provider's Profile

Full NameAddie Noel Ketelsen
GenderFemale
SpecialityNurse Practitioner
Experience16 Years
Location202 10th St Se Ste 100, Cedar Rapids, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Addie Noel Ketelsen graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1043519499
  • Provider Enumeration Date: 03/24/2011
  • Last Update Date: 04/02/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7012195423
  • Enrollment ID: I20110706000333

Medical Identifiers

Medical identifiers for Addie Noel Ketelsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043519499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family A-113254 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Lukes HospitalCedar rapids, IAHospital
Jones Regional Medical CenterAnamosa, IAHospital
Virginia Gay HospitalVinton, IAHospital
Regional Medical CenterManchester, IAHospital
Compass Memorial HealthcareMarengo, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Methodist Hospital660878675181
Physicians Clinic Of Iowa Pc2163325242131

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Addie Noel Ketelsen allows following entities to bill medicare on her behalf.
Entity NameSt Lukes Methodist Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073553939
PECOS PAC ID: 6608786751
Enrollment ID: O20040204000942

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Addie Noel Ketelsen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Addie Noel Ketelsen, ARNP
202 10th St Se Ste 100,
Cedar Rapids, IA 52403-2424

Ph: (319) 363-8171		Addie Noel Ketelsen, ARNP
202 10th St Se Ste 100,
Cedar Rapids, IA 52403-2424

Ph: (319) 363-8171

Reviews and Comments


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Nicole M Pruchno, ARNP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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