KIMBERLY ANN NOWACK
NPI 1811629173
Nurse Practitioner - Psychiatric/Mental Health in Medina, OH

Active since June 27, 2022PECOS EnrolledAccepts Medicare Assignment
3780 MEDINA RD, MEDINA, OH 44256(330) 721-7604 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Ann Nowack NPPES

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

KIMBERLY ANN NOWACK (NPI 1811629173) is an individual psychiatric/mental health provider in Medina, Ohio, licensed in Ohio (0031605) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1811629173
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKIMBERLY ANN NOWACK
Location Address3780 MEDINA RDMedina, OH 44256-9311
Mailing Address3593 Medina Rd # 105Medina, OH 44256-8182
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 27, 2022
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
NPI 1811629173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in OH · 0031605
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN312992 (OH)
3780 MEDINA RD, Medina, OH 44256

Secondary Practice Locations 2

Location 175 Arch St Ste 410Akron, OH 44304-1433 · Phone (330) 375-7474
Location 23593 Medina Rd # 105Medina, OH 44256-8182 · Phone (330) 635-1272

Accepted 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

Kimberly Ann Nowack 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 ID7810372653
PECOS Enrollment IDI20220915001297
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44256 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
3780 MEDINA RD, SUITE 220
MEDINA, OH 44256
Obstetrics & Gynecology
3780 MEDINA RD, SUITE 210
MEDINA, OH 44256
Surgery
3780 MEDINA RD, STE. 200
MEDINA, OH 44256
Family Medicine
3780 MEDINA RD, STE. 310
MEDINA, OH 44256
Nurse Practitioner (Family)
3780 MEDINA RD, SUITE 310
MEDINA, OH 44256
Surgery
3780 MEDINA RD, STE. 200
MEDINA, OH 44256
Clinic/Center (Ambulatory Surgical)
3780 MEDINA RD
MEDINA, OH 44256
Emergency Medicine
3780 MEDINA RD
MEDINA, OH 44256

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 Kimberly Nowack's NPI number?

The NPI number for Kimberly Nowack is 1811629173. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Kimberly Nowack located?

Kimberly Nowack practices at 3780 Medina Rd, Medina, OH 44256. The listed phone number is (330) 721-7604.

What is Kimberly Nowack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kimberly Nowack enrolled in Medicare?

Yes. Kimberly Nowack 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 Kimberly Nowack accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 1 other insurer list Kimberly Nowack 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 Kimberly Nowack was last updated on November 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.