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NICHOLETTE NOWAK
NPI 1275406662
Anesthesiology in Riverview, FL

Active since September 24, 2025Accepts Medicare Assignment
6901 SIMMONS LOOP, RIVERVIEW, FL 33578(813) 302-8000 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholette Nowak NPPES

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

NICHOLETTE NOWAK (NPI 1275406662) is an individual anesthesiology provider in Riverview, Florida, licensed in Florida (AA1127) and active in the NPI registry since September 2025. She is affiliated with St Josephs Hospital and is a graduate of Other (2025).

NPPES Registry Identity

NPI1275406662
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameNICHOLETTE NOWAK
Location Address6901 SIMMONS LOOPRiverview, FL 33578-9498
Mailing Address12644 Colonnade CirClermont, FL 34711-6806
Phone(813) 302-8000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 24, 2025
NPPES CertifiedSeptember 9, 2025
✔ NPI 1275406662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in FL · AA1127
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
6901 SIMMONS LOOP, Riverview, FL 33578
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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

Nicholette Nowak 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 ID6204326119
PECOS Enrollment IDI20251108000018

Medicare Billing Reassignment

Medicare enrollment records show Nicholette Nowak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baycare Medical Group, Inc.
26 mi
General Practice
2995 DREW ST FL 2
Clearwater, FL 33759
  • Reassigned Medicare billing, Florida enrollment
  • 2,009 clinicians in this Medicare group
NPI 1043269871 (727) 281-9065

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

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

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.

MIRIAM ROSA HEADLEY
Registered Nurse (Infection Control)
6901 SIMMONS LOOP
RIVERVIEW, FL 33578
Hillsborough County (813) 302-8021
MS. MELISSA MARIE CLINTON PA-C
Physician Assistant (Surgical)
6901 SIMMONS LOOP
RIVERVIEW, FL 33578
Hillsborough County (813) 302-8070
DR. BRENDAN RAJESH MALIK M.D.
Internal Medicine
6901 SIMMONS LOOP
RIVERVIEW, FL 33578
Hillsborough County (813) 302-8388
KIMBERLY HAVERS ARNP
Nurse Practitioner
6901 SIMMONS LOOP
RIVERVIEW, FL 33578
Hillsborough County (813) 302-8400
TAYLOR MACKENZIE LUTHRINGER
Pharmacist
6901 SIMMONS LOOP
RIVERVIEW, FL 33578
Hillsborough County (813) 302-8000
SAUD MUTHANNA SHAKIR AL-EZZI MD
Student in an Organized Health Care Education/Training Program
6901 SIMMONS LOOP
RIVERVIEW, FL 33578
Hillsborough County (813) 302-8766
MS. MONIQUE ANNE FELCENLOBEN M.D.
Student in an Organized Health Care Education/Training Program
6901 SIMMONS LOOP
RIVERVIEW, FL 33578
Hillsborough County (813) 302-8766
DR. DOMENIC JAMES PULITO DO
Anesthesiology
6901 SIMMONS LOOP
RIVERVIEW, FL 33578
Hillsborough County (813) 870-4015

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 Nicholette Nowak's NPI number?

The NPI number for Nicholette Nowak is 1275406662. It was assigned to this individual provider in the NPPES registry on September 24, 2025.

Where is Nicholette Nowak located?

Nicholette Nowak practices at 6901 Simmons Loop, Riverview, FL 33578. The listed phone number is (813) 302-8000.

What is Nicholette Nowak's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Nicholette Nowak enrolled in Medicare?

Yes. Nicholette 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.

Which organization bills Medicare for Nicholette Nowak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholette Nowak reassigns Medicare benefits to Baycare Medical Group, Inc. (Clearwater, FL). The 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 Nicholette Nowak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholette Nowak affiliated with any hospitals?

According to CMS data, Nicholette Nowak is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Nicholette Nowak was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.