JACLYN NOVAK
NPI 1457916124
Physician Assistant in Chicago, IL

Active since May 07, 2019PECOS Enrolled
5645 W ADDISON ST, CHICAGO, IL 60634(773) 282-7000 Get Directions Write a Review

NPPES record last updated: May 7, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jaclyn Novak NPPES

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

JACLYN NOVAK (NPI 1457916124) is an individual physician assistant in Chicago, Illinois and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457916124
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACLYN NOVAK
Location Address5645 W ADDISON STChicago, IL 60634-4403
Mailing Address5645 W Addison StChicago, IL 60634-4403
Sole ProprietorNo
Enumeration DateMay 7, 2019
✔ NPI 1457916124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
5645 W ADDISON ST, Chicago, IL 60634

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Novak 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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
42 services41 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
24 services23 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60634 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

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.

Anesthesiology
5645 W ADDISON ST
CHICAGO, IL 60634
Physical Therapist
5645 W ADDISON ST
CHICAGO, IL 60634
Physical Therapist
5645 W ADDISON ST
CHICAGO, IL 60634
Physical Therapist
5645 W ADDISON ST
CHICAGO, IL 60634
General Acute Care Hospital
5645 W ADDISON ST
CHICAGO, IL 60634
Radiology (Diagnostic Radiology)
5645 W ADDISON ST
CHICAGO, IL 60634
Nurse Anesthetist, Certified Registered
5645 W ADDISON ST
CHICAGO, IL 60634
Physical Therapist
5645 W ADDISON ST
CHICAGO, IL 60634

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 Jaclyn Novak's NPI number?

The NPI number for Jaclyn Novak is 1457916124. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Jaclyn Novak located?

Jaclyn Novak practices at 5645 W Addison St, Chicago, IL 60634. The listed phone number is (773) 282-7000.

What is Jaclyn Novak's specialty?

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

Is Jaclyn Novak enrolled in Medicare?

Yes. Jaclyn Novak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Novak was last updated on May 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.