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MR. RAPHAEL NOWAK MD.
NPI 1396584553
Student in an Organized Health Care Education/Training Program in Olympia, WA

Active since May 20, 2024PECOS Enrolled
PROVIDENCE ST. PETER FAMILY MEDICINE, 525 LILLY RD NE, OLYMPIA, WA 98506(360) 493-7525 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Raphael Nowak Md. NPPES

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

MR. RAPHAEL NOWAK MD. (NPI 1396584553) is an individual student in an organized health care education/training program in Olympia, Washington and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396584553
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. RAPHAEL NOWAKCredential: MD.
Location AddressPROVIDENCE ST. PETER FAMILY MEDICINE, 525 LILLY RD NEOlympia, WA 98506
Mailing AddressProvidence St. Peter Family Medicine, 525 Lilly Rd NeOlympia, WA 98506 · (360) 493-7525
Phone(360) 493-7525
Sole ProprietorNo
Enumeration DateMay 20, 2024
Last NPPES UpdateDecember 3, 2024
✔ NPI 1396584553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
PROVIDENCE ST. PETER FAMILY MEDICINE, Olympia, WA 98506
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Raphael Nowak 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.

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 Raphael Nowak's NPI number?

The NPI number for Raphael Nowak is 1396584553. It was assigned to this individual provider in the NPPES registry on May 20, 2024.

Where is Raphael Nowak located?

Raphael Nowak practices at Providence St. Peter Family Medicine 525 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 493-7525.

What is Raphael Nowak's specialty?

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

Is Raphael Nowak enrolled in Medicare?

Yes. Raphael Nowak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raphael Nowak was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.