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

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Stacy Nowak was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 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.

Active since May 18, 2021PECOS Enrolled

12200 E 13 MILE RD STE 200, WARREN, MI 48093(586) 573-1810 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2026, May 18, 2021 (2 updates tracked since 2021).

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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.

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

Enumeration DateMay 18, 2021

Last NPPES UpdateJune 10, 20262 updates tracked since enumeration

NPPES CertifiedJune 10, 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

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacy Ann Nowak Phmnp-bc 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.

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))