KEVIN EDWARD NOWAKOWSKI MD
NPI 1104719855
Student in an Organized Health Care Education/Training Program in Vincennes, IN

Active since June 02, 2025PECOS Enrolled
520 S 7TH ST, VINCENNES, IN 47591(812) 885-8520 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Edward Nowakowski Md NPPES

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

KEVIN EDWARD NOWAKOWSKI MD (NPI 1104719855) is an individual student in an organized health care education/training program in Vincennes, Indiana and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104719855
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN EDWARD NOWAKOWSKICredential: MD
Location Address520 S 7TH STVincennes, IN 47591-1038
Mailing Address520 S 7th StVincennes, IN 47591-1038
Sole ProprietorNo
Enumeration DateJune 2, 2025
NPPES CertifiedJune 1, 2025
NPI 1104719855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
520 S 7TH ST, Vincennes, IN 47591

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kevin Edward Nowakowski Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

General Practice
520 S 7TH ST
VINCENNES, IN 47591
Internal Medicine
520 S 7TH ST
VINCENNES, IN 47591
Pharmacist
520 S 7TH ST
VINCENNES, IN 47591
Pharmacist
520 S 7TH ST
VINCENNES, IN 47591
Physician Assistant
520 S 7TH ST
VINCENNES, IN 47591
Pharmacist
520 S 7TH ST, PHARMACY DEPARTMENT
VINCENNES, IN 47591
Physician Assistant (Medical)
520 S 7TH ST
VINCENNES, IN 47591
Internal Medicine
520 S 7TH ST
VINCENNES, IN 47591

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Nowakowski's NPI number?

The NPI number for Kevin Nowakowski is 1104719855. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Kevin Nowakowski located?

Kevin Nowakowski practices at 520 S 7th St, Vincennes, IN 47591. The listed phone number is (812) 885-8520.

What is Kevin Nowakowski's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kevin Nowakowski enrolled in Medicare?

Yes. Kevin Nowakowski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Nowakowski was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.