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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. STACY ANN NOWAK PHMNP-BC
NPI 1861066433
Nurse Practitioner - Psychiatric/Mental Health in Warren, MI

Active since May 18, 2021PECOS EnrolledAccepts Medicare Assignment
12200 E 13 MILE RD STE 200, WARREN, MI 48093(586) 573-1810 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 1, 2026, May 26, 2026, May 18, 2021 (3 updates tracked since 2021).

About Mrs. Stacy Ann Nowak Phmnp-bc NPPES

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

MRS. STACY ANN NOWAK PHMNP-BC (NPI 1861066433) is an individual psychiatric/mental health provider in Warren, Michigan, licensed in Michigan (4704272127) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861066433
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. STACY ANN NOWAKCredential: PHMNP-BC
Location Address12200 E 13 MILE RD STE 200Warren, MI 48093-3093
Mailing Address12200 E 13 Mile Rd Ste 200Warren, MI 48093-3093 · (586) 573-1810
Phone(586) 573-1810
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMay 18, 2021
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1861066433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704272127
12200 E 13 MILE RD STE 200, Warren, MI 48093
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Stacy Ann Nowak Phmnp-bc 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 ID9436613106
PECOS Enrollment IDI20260714001527
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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Nowak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Judson Center, Inc.
Same address
Family Medicine
12200 E 13 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • 16 clinicians in this Medicare group
NPI 1396217600 (586) 573-1810

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48093 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

DETROIT HEALTH CARE FOR THE HOMELESS
Clinic/Center (Federally Qualified Health Center (FQHC))
12200 E 13 MILE RD STE 200
WARREN, MI 48093
Macomb County (313) 416-6262
CANDICE RUBIO
Case Manager/Care Coordinator
12200 E 13 MILE RD STE 200
WARREN, MI 48093
Macomb County (586) 573-1810
APRIL MENDYKA LPC
Counselor (Mental Health)
12200 E 13 MILE RD STE 200
WARREN, MI 48093
Macomb County (586) 573-1810
CAITLIN WALDORF LMSW
Social Worker (Clinical)
12200 E 13 MILE RD STE 200
WARREN, MI 48093
Macomb County (586) 573-1810
ANGELIC HARRISON
Behavior Technician
12200 E 13 MILE RD STE 200
WARREN, MI 48093
Macomb County (586) 573-1810
JENNIFER J ROGERS MA
Peer Specialist
12200 E 13 MILE RD STE 200
WARREN, MI 48093
Macomb County (586) 573-1810
LEXIS GOFF
Behavior Technician
12200 E 13 MILE RD STE 200
WARREN, MI 48093
Macomb County (586) 573-1810
MRS. IRENE MARIE SALEM
Community Health Worker
12200 E 13 MILE RD STE 200
WARREN, MI 48093
Macomb County (248) 872-4170

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 Stacy Nowak's NPI number?

The NPI number for Stacy Nowak is 1861066433. It was assigned to this individual provider in the NPPES registry on May 18, 2021.

Where is Stacy Nowak located?

Stacy Nowak practices at 12200 E 13 Mile Rd Ste 200, Warren, MI 48093. The listed phone number is (586) 573-1810.

What is Stacy Nowak's specialty?

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

Is Stacy Nowak enrolled in Medicare?

Yes. Stacy Nowak 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.

Which organization bills Medicare for Stacy Nowak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Nowak reassigns Medicare benefits to Judson Center, Inc. (Warren, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Nowak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Nowak accept?

Health plans from Oscar Insurance Company, Priority Health and UnitedHealthcare list Stacy Nowak 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 Stacy Nowak was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.