JENNIFER NOVAK
NPI 1023557352
Nurse Practitioner - Gerontology in Maplewood, MN

Q: What is Jennifer Novak's NPI number?

The NPI number for Jennifer Novak is 1023557352. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Q: What is Jennifer Novak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Novak was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 20, 2017PECOS EnrolledAccepts Medicare Assignment

2165 WHITE BEAR AVE N, MAPLEWOOD, MN 55109(651) 523-9800 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 25, 2020, Mar 13, 2017, Feb 20, 2017 (3 updates tracked since 2017).

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About Jennifer Novak NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER NOVAK (NPI 1023557352) is an individual gerontology provider in Maplewood, Minnesota, licensed in Minnesota (CNP 5012) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023557352

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameJENNIFER NOVAK

Location Address2165 WHITE BEAR AVE NMaplewood, MN 55109-2707

Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516 · (651) 523-9800

Phone(651) 523-9800

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateFebruary 20, 2017

Last NPPES UpdateFebruary 25, 20203 updates tracked since enumeration

✔ NPI 1023557352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in MN · CNP 5012

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License CNP 5012 (MN)

2165 WHITE BEAR AVE N, Maplewood, MN 55109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Novak is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072897446

PECOS Enrollment IDI20170302001156

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Novak reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Group Health, Inc.

Same address

General Practice

2165 WHITE BEAR AVE N
Maplewood, MN 55109

Reassigned Medicare billing, Minnesota enrollment
2,274 clinicians in this Medicare group

NPI 1043365208 (651) 770-8828

Fairview Express Care

1.4 mi

Neurology

1650 BEAM AVE STE 200
Maplewood, MN 55109

Reassigned Medicare billing, Minnesota enrollment
3,633 clinicians in this Medicare group

NPI 1902311210 (651) 221-9051

Healtheast Medical Research Institute

1.5 mi

Multi-Specialty

1747 BEAM AVE STE 100
Maplewood, MN 55109

Reassigned Medicare billing, Minnesota enrollment
2,361 clinicians in this Medicare group

NPI 1003577420 (651) 326-5569

Fairview Clinics

2.2 mi

Clinic/Center

1414 MARYLAND AVE E
Saint Paul, MN 55106

Reassigned Medicare billing, Minnesota enrollment
2,302 clinicians in this Medicare group

NPI 1124652557 (651) 772-3461

Fairview Health Services

11 mi

General Acute Care Hospital

2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454

Reassigned Medicare billing, Minnesota enrollment
4,038 clinicians in this Medicare group

NPI 1316008212 (612) 273-7838

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

90 services67 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

68 services53 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services37 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

41 services39 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

32 services32 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

26 services21 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

23 services21 patients

Blood test, thyroid stimulating hormone (tsh) 84443

A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.

22 services21 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

19 services19 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

18 services17 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

14 services14 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

14 services14 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

12 services12 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240210

Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County

Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240213

Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier12 claims12 services$169.80 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GROUP HEALTH, INC.

Dentist (General Practice)