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MRS. NICOLE NOVAK PA-C
NPI 1811424609
Physician Assistant in Wauwatosa, WI

Active since May 11, 2017PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
10625 W NORTH AVE, WAUWATOSA, WI 53226(414) 877-5350 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Nicole Novak Pa-c NPPES

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

MRS. NICOLE NOVAK PA-C (NPI 1811424609) is an individual physician assistant in Wauwatosa, Wisconsin, licensed in Wisconsin (4009-23) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Rush Medical College Of Rush University (2017).

NPPES Registry Identity

NPI1811424609
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. NICOLE NOVAKCredential: PA-C
Location Address10625 W NORTH AVEWauwatosa, WI 53226-2315
Mailing Address10625 W North AveWauwatosa, WI 53226-2315
Phone(414) 877-5350
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2017
Enumeration DateMay 11, 2017
✔ NPI 1811424609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 4009-23
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.
10625 W NORTH AVE, Wauwatosa, WI 53226
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nicole Novak Pa-c 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 ID8527337047
PECOS Enrollment IDI20170627000433
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
261 services108 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
120 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
98 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services20 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
40 services14 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

ROBIN SADLER D.C.
Chiropractor
10625 W NORTH AVE, SUITE 230
WAUWATOSA, WI 53226
Milwaukee County (414) 755-5833
MRS. BRENDA J SHERMAN C.AC.
Acupuncturist
10625 W NORTH AVE, SUITE 223
WAUWATOSA, WI 53226
Milwaukee County (414) 476-9008
JEFFREY J GLINSKI M.D.
Emergency Medicine
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226
Milwaukee County (414) 877-5350
DR. KATHLEEN A SHALLOW MD
Emergency Medicine
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226
Milwaukee County (414) 877-5350
DR. MATTHEW MOKROHISKY MD
Emergency Medicine
10625 W NORTH AVE, SUITE 102
WAUWATOSA, WI 53226
Milwaukee County (414) 877-5351
TRENT KAPLA PA-C
Physician Assistant
10625 W NORTH AVE, SUITE 102
WAUWATOSA, WI 53226
Milwaukee County (414) 877-5350
JULIE ANN R BINDAS PA-C
Physician Assistant
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226
Milwaukee County (414) 877-5350
JERRY MICHAEL SURIANO D.O.
Emergency Medicine
10625 W NORTH AVE, 102
MILWAUKEE, WI 53226
Milwaukee County (414) 877-5350

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 Nicole Novak's NPI number?

The NPI number for Nicole Novak is 1811424609. It was assigned to this individual provider in the NPPES registry on May 11, 2017.

Where is Nicole Novak located?

Nicole Novak practices at 10625 W North Ave, Wauwatosa, WI 53226. The listed phone number is (414) 877-5350.

What is Nicole Novak's specialty?

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

Is Nicole Novak enrolled in Medicare?

Yes. Nicole Novak 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.

What insurance does Nicole Novak accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Nicole Novak 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.

Is Nicole Novak affiliated with any hospitals?

According to CMS data, Nicole Novak is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Novak was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.