ADDIE NOEL KETELSEN (ARNP) – Family Nurse Practitioner, NPI 1043519499

ADDIE NOEL KETELSEN (ARNP) is a healthcare provider. based in Cedar rapids, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. A-113254 (IA). The NPI Number for ADDIE NOEL KETELSEN (ARNP) is 1043519499

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
ADDIE NOEL KETELSEN (ARNP)
NPI
1043519499
Phone
(319) 363-8171
Address
202 10TH ST SE STE 100
Enumeration Date
24 March 2011
Last Update Date
2 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3193698764
Graduation Year
2010 (16 years ago)
PAC ID
7012195423
Group Practice PAC ID
6608786751
Professional Enrollment ID
I20110706000333
Address ID
IA524025077CE225XXNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:15State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for ADDIE NOEL KETELSEN (ARNP)

  • 202 10TH ST SE STE 100

    CEDAR RAPIDS, IA 524032424

    Phone: (319) 363-8171

    Type: Mailing

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-5000

    Type: Mailing

  • 7231 SUNWOOD DR NW

    ANOKA, MN 553035190

    Phone: (763) 236-0000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $884.

Total Amount is formed as General ($884) + Research ($0) + Ownership ($0) = $884.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($324).

Total Amount

$884

General + Research + Ownership

Payments

34

Total payment records

General Amount

$884

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110706000333INurse PractitionerIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes171163$0
99214Established patient office or other outpatient visit, 30-39 minutes150132$0
99204New patient office or other outpatient visit, 45-59 minutes7979$0
99203New patient office or other outpatient visit, 30-44 minutes4646$0
91065Measurement of hydrogen in breath to test for stomach and bowel symptoms4322$0
View full utilization report →

Insurance plans in this area (ZIP 52403)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608786751View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)IA
Nurse PractitionerIA
Nurse PractitionerIA
Nurse PractitionerIA
-IA
-IA
Clinical PsychologistIA
Nurse PractitionerIA
-IA
P S Y C H I A T R YIA

Reviews

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Frequently asked questions

Is ADDIE NOEL KETELSEN (ARNP) listed with a National Provider Identifier?
Yes — ADDIE NOEL KETELSEN (ARNP) has NPI 1043519499 on file in the registry.
Is ADDIE NOEL KETELSEN (ARNP) still an active registrant?
ADDIE NOEL KETELSEN (ARNP) carries an active NPI according to the public dataset.
What kind of doctor is ADDIE NOEL KETELSEN (ARNP)?
ADDIE NOEL KETELSEN (ARNP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Iowa is ADDIE NOEL KETELSEN (ARNP) registered?
Use Cedar Rapids, Iowa as the headline location for ADDIE NOEL KETELSEN (ARNP) here.
Can I trust this NPI listing for ADDIE NOEL KETELSEN (ARNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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