ALISSA NOWACK
NPI 1194334730
Occupational Therapist in Fridley, MN
About Alissa Nowack NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALISSA NOWACK (NPI 1194334730) is an individual occupational therapist in Fridley, Minnesota and active in the NPI registry since July 2020.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alissa Nowack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Alissa Nowack reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fridley, MN 55432
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Metro Therapy Special Childrens Clinic
- 18 clinicians in this Medicare group
Fridley, MN 55432
- Reassigned Medicare billing, Minnesota enrollment
- 75 clinicians in this Medicare group
Maplewood, MN 55109
- Reassigned Medicare billing, Minnesota enrollment
- 21 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Alissa Nowack's NPI number?
The NPI number for Alissa Nowack is 1194334730. It was assigned to this individual provider in the NPPES registry on July 29, 2020.
Where is Alissa Nowack located?
Alissa Nowack practices at 7241 University East Service Rd, Fridley, MN 55432. The listed phone number is (763) 450-9400.
What is Alissa Nowack's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Alissa Nowack enrolled in Medicare?
Yes. Alissa Nowack is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Alissa Nowack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alissa Nowack reassigns Medicare benefits to 3 organizations: Metro Therapy Special Children's Clinic (Fridley, MN), Aegis Group Practice LLC (Fridley, MN) and Children's Theraplay, LLC (Maplewood, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alissa Nowack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alissa Nowack was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.