JACKIE ANNE NOVAK RD
NPI 1912865809
Dietitian, Registered in Ellicott City, MD
About Jackie Anne Novak Rd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKIE ANNE NOVAK RD (NPI 1912865809) is an individual dietitian, registered in Ellicott City, Maryland, licensed in (86376275) and active in the NPI registry since January 2026. She is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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
Jackie Anne Novak Rd 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.
Medicare Billing Reassignment
Medicare enrollment records show Jackie Novak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
White Plains, MD 20695
- Reassigned Medicare billing, Maryland enrollment
- 13 clinicians in this Medicare group
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 21043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jackie Novak's NPI number?
The NPI number for Jackie Novak is 1912865809. It was assigned to this individual provider in the NPPES registry on January 12, 2026.
Where is Jackie Novak located?
Jackie Novak practices at 8388 Court Ave Ste 202, Ellicott City, MD 21043. The listed phone number is (443) 355-7021.
What is Jackie Novak's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Jackie Novak enrolled in Medicare?
Yes. Jackie 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.
Which organization bills Medicare for Jackie Novak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Novak reassigns Medicare benefits to Core Value Corporation (White Plains, MD). 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 Jackie Novak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jackie Novak was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Jackie Anne Novak, RD · NPI 1912865809
Dietitian, Registered provider in Ellicott City, Maryland. Individual provider, active in the CMS NPPES registry since January 12, 2026.
## Identity
- **NPI:** 1912865809 (Entity type: Individual)
- **Enumerated:** January 12, 2026
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** 86376275
- **Sole proprietor:** Yes
## Practice location
- **Address:** 8388 COURT AVE STE 202, Ellicott City, MD 21043-5203
- **Phone:** (443) 355-7021
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Core Value Corporation (NPI 1265961247, White Plains, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912865809) · Data from the CMS NPPES public registry.