MRS. NICOLE NOVAK (NPI# 1811424609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811424609 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE NOVAK |
| Credential | PA-C |
| Practice Address |
10625 W North Ave Wauwatosa WI 53226-2315 |
| Practice Telephone | 4148775350 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4009-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790088672 | Nicole Ann Novak | Occupational Therapist | 304 S 1st Ave, Apt 15, Abbotsford, WI 54405-9758 | 2010-12-14 |
| 1467680926 | Nicole Novak | Student in an Organized Health Care Education/Training Program | 1400 Fleetwood Ct, Fort Collins, CO 80521-4057 | 2009-06-23 |
| 1104434885 | Nicole Novak | Behavior Technician | 1048 Pierpont Dr Ste 9, Lansing, MI 48911-5976 | 2020-07-17 |
| 1417322132 | Nicole Novak | Registered Nurse | 2565 Judge Fran Jamieson Way, Viera, FL 32940-5998 | 2015-12-07 |
| Street Address |
10625 W NORTH AVE |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376526319 | S. L. Moss, M.d., S.c. | Pediatrics | 10625 W North Ave, Suite 222, Wauwatosa, WI 53226-2315 | 2005-11-23 |
| 1720602782 | Reanne Parson Castner | Physician Assistant | 10625 W North Ave, Wauwatosa, WI 53226-2315 | 2020-06-04 |
| 1306331822 | Chloe Stady | Physician Assistant | 10625 W North Ave, Wauwatosa, WI 53226-2315 | 2018-06-27 |
| 1114377421 | Trent Kapla | Physician Assistant | 10625 W North Ave, Suite 102, Wauwatosa, WI 53226-2315 | 2016-06-16 |
| 1659734754 | Hughes Acupuncture Clinic, Inc | Acupuncturist | 10625 W North Ave, Ll3, Wauwatosa, WI 53226-2315 | 2016-04-05 |
| 1720462153 | Lindsey Grocholski | Nurse Practitioner | 10625 W North Ave, Suite 102, Wauwatosa, WI 53226-2315 | 2015-07-15 |
| 1700269065 | Brigitte Juppe | Physician Assistant | 10625 W North Ave, Suite 102, Wauwatosa, WI 53226-2315 | 2015-07-06 |
| 1396148987 | Mollie Ritchie | Nurse Practitioner | 10625 W North Ave, Wauwatosa, WI 53226-2315 | 2014-09-26 |
| 1003238551 | Robin Sadler | Chiropractor | 10625 W North Ave, Suite 230, Wauwatosa, WI 53226-2315 | 2014-01-16 |
| 1306281399 | True Health Chiropractic and Wellness | Chiropractor | 10625 W North Ave, Suite #230, Wauwatosa, WI 53226-2315 | 2013-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376166579 | Candace Ann Clark | Physician Assistant | 7237 Wellauer Dr, Wauwatosa, WI 53213-3665 | 2020-05-21 |
| 1104489616 | Andrea Agnes Roell | Physician Assistant | 9995 W North Ave Apt 256, Wauwatosa, WI 53226-2512 | 2019-04-19 |
| 1841746989 | Elissa Hornick | Physician Assistant | 2885 N. Mayfair Rd., Wauwatosa, WI 53222 | 2016-08-29 |
| 1487050191 | Ashley J Midtling | Physician Assistant | 10625 W. North Ave Suite 102, Wauwatosa, WI 53226 | 2014-11-06 |
| 1063472488 | Judith M Riesch | Physician Assistant | 601 N 99 St, Suite 201, Wauwatosa, WI 53226 | 2006-03-28 |
| 1720602782 | Reanne Parson Castner | Physician Assistant | 10625 W North Ave, Wauwatosa, WI 53226-2315 | 2020-06-04 |
| 1770116220 | Melissa Gorman | Physician Assistant | 9200 W Wisconsin Ave, Wauwatosa, WI 53226-3522 | 2020-02-12 |
| 1851939623 | Kathleen Grace Barnes | Physician Assistant | 1220 Dewey Ave, Wauwatosa, WI 53213-2504 | 2019-12-12 |
| 1467014514 | Joshua Mark Baker | Physician Assistant | 3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222-4305 | 2019-06-28 |
| 1780240804 | Jasmin Barthel | Physician Assistant | 2885 N Mayfair Rd, Wauwatosa, WI 53222-4404 | 2019-05-14 |
| Find all providers in WAUWATOSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.