Individual ProviderKacy NovotnyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address926 Main St, Nashville, TN 37206-3614(615) 436-9060PECOS EnrollmentBased on the most recent information from CMS, provider Kacy Novotny is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1891222105Provider TypeIndividualFull NameNovotny, KacyTitleMs.CredentialFNP-CGenderFemaleSole ProprietorNoEnumeration Date5/17/2017Last Updated11/20/2025Contact InformationPractice LocationPractice Address926 Main St, Nashville, TN 37206-3614Phone(615) 436-9060Fax(615) 235-9725Mailing LocationMailing Address926 Main St, Nashville, TN 37206-3614Phone(615) 436-9060Fax(615) 235-9725Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP10124ArizonaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP61350911WashingtonCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense85854New MexicoProvider IdentifiersIDDescriptionIssuerID279247DescriptionMedicaidIssuerUnlistedArizona