MARK A. NOWACKI MD PA
NPI 1427440213
Preferred Provider Organization in Saint Petersburg, FL

Active since March 03, 2015CLIA 10D0956150 · Waiver
7011 1ST AVE S, SAINT PETERSBURG, FL 33707(727) 347-4158(727) 345-2260 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mark A. Nowacki Md Pa NPPES

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

MARK A. NOWACKI MD PA (NPI 1427440213) is a healthcare organization registered as a preferred provider organization in Saint Petersburg, Florida and active in the NPI registry since March 2015. The organization holds a CLIA Waiver certificate valid through January 20, 2027 and lists Mark A Nowacki, Physician, as its authorized official.

NPPES Registry Identity

NPI1427440213
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMARK A. NOWACKI MD PA
Location Address7011 1ST AVE SSaint Petersburg, FL 33707-1203
Mailing Address7011 1st Ave SSaint Petersburg, FL 33707-1203 · (727) 347-4158 · Fax (727) 345-2260
Fax(727) 345-2260
Organization SubpartNo
Authorized OfficialMark A NowackiPhysician · (727) 347-4158
Enumeration DateMarch 3, 2015
Last NPPES UpdateApril 4, 2024
NPPES CertifiedApril 4, 2024
NPI 1427440213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License Licensed in FL · ME60591
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
7011 1ST AVE S, Saint Petersburg, FL 33707

Other Identifiers 1

Medicaid372504900FL

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D0956150

Mark A Nowacki MD PA · Saint Petersburg, FL
Active · expires Jan 20, 2027
CLIA Number10D0956150
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorMark A. Nowacki
Laboratory Phone(727) 347-4158
Laboratory LocationMark A Nowacki MD PA7011 1st Avenue South, Saint Petersburg, FL 33707
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Family Medicine
7011 1ST AVE S
ST PETERSBURG, FL 33707
Internal Medicine
7011 1ST AVE S
SAINT PETERSBURG, FL 33707

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 Mark A. Nowacki MD PA's NPI number?

The NPI number for Mark A. Nowacki MD PA is 1427440213. It was assigned to this organization in the NPPES registry on March 3, 2015.

Where is Mark A. Nowacki MD PA located?

Mark A. Nowacki MD PA is located at 7011 1st Ave S, Saint Petersburg, FL 33707. The listed phone number is (727) 347-4158.

What is Mark A. Nowacki MD PA's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Does Mark A. Nowacki MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0956150) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mark A. Nowacki MD PA accept?

Health plans from Molina Healthcare list Mark A. Nowacki MD PA 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.

When was this NPI record last updated?

The NPPES record for Mark A. Nowacki MD PA was last updated on April 4, 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.