Kelly R Horn, is a medicare enrolled "Advanced Practice Midwife" in Coralville, Iowa. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice State University Of Iowa and her current practice location is
105 E 9th St, Coralville, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 651-5173.
Kelly R Horn is licensed to practice in Iowa (license number B180964) 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 1912393570.
Provider's Profile
| Full Name | Kelly R Horn |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 3 Years |
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| Location | 105 E 9th St, Coralville, Iowa |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kelly R Horn graduated from nursing school in 2022
NPI Data:
- NPI Number: 1912393570
- Provider Enumeration Date: 04/10/2015
- Last Update Date: 11/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 0941529309
- Enrollment ID: I20241211001840
Medical Identifiers
Medical identifiers for Kelly R Horn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912393570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | B180964 (Iowa) | Primary |
| 176B00000X | Midwife | 09000257A (Indiana) | Secondary |
| 363L00000X | Nurse Practitioner | 71005416A (Indiana) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| State University Of Iowa | 7618884230 | 1711 |
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. Kelly R Horn allows following entities to bill medicare on her behalf.
| Entity Name | State University Of Iowa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477554814
PECOS PAC ID: 7618884230
Enrollment ID: O20031107000060 |
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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. Kelly R Horn 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 Address | Practice Location Address |
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Kelly R Horn,
105 E 9th St,
Coralville, IA 52241-2209
Ph: (319) 651-5173 | Kelly R Horn,
105 E 9th St,
Coralville, IA 52241-2209
Ph: (319) 651-5173 |
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