MR. NICHOLAS NOWAK PA-C
NPI 1154998797
Physician Assistant in Albion, MI

Active since June 10, 2021PECOS EnrolledAccepts Medicare Assignment
92.05/100
CMS Quality Rating
302 N MONROE ST STE B, ALBION, MI 49224(517) 654-1020 Get Directions Write a Review

NPPES record last updated: May 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Nicholas Nowak Pa-c NPPES

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

MR. NICHOLAS NOWAK PA-C (NPI 1154998797) is an individual physician assistant in Albion, Michigan, licensed in Michigan (5601010488) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Oaklawn Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154998797
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. NICHOLAS NOWAKCredential: PA-C
Location Address302 N MONROE ST STE BAlbion, MI 49224-1765
Mailing Address302 N Monroe StAlbion, MI 49224-1765 · (517) 629-2134
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 10, 2021
Last NPPES UpdateMay 22, 2024
NPPES CertifiedJanuary 10, 2023
NPI 1154998797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601010488
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
302 N MONROE ST STE B, Albion, MI 49224

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Nicholas Nowak Pa-c 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 ID6103223565
PECOS Enrollment IDI20210928000683
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.

Areas of Expertise CMS Part B claims

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 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.
150 services124 patients

Hospital Affiliations CMS Care Compare

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

Oaklawn Hospital

Acute Care Hospitals · Marshall, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230217
Location200 N MadisonMarshall, MI 49068 · Calhoun County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49224 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.19
Promoting Interoperability97
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%681 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
49%428 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
302 N MONROE ST STE B
ALBION, MI 49224
Nurse Practitioner (Family)
302 N MONROE ST STE B
ALBION, MI 49224

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 Nicholas Nowak's NPI number?

The NPI number for Nicholas Nowak is 1154998797. It was assigned to this individual provider in the NPPES registry on June 10, 2021.

Where is Nicholas Nowak located?

Nicholas Nowak practices at 302 N Monroe St Ste B, Albion, MI 49224. The listed phone number is (517) 654-1020.

What is Nicholas Nowak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Nowak enrolled in Medicare?

Yes. Nicholas Nowak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicholas Nowak accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Nicholas Nowak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nicholas Nowak affiliated with any hospitals?

According to CMS data, Nicholas Nowak is affiliated with Oaklawn Hospital.

When was this NPI record last updated?

The NPPES record for Nicholas Nowak was last updated on May 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.