SUSAN C NOVAK-NIZAMI (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1477920841

SUSAN C NOVAK-NIZAMI (RN) is a healthcare provider. based in Brentwood, California. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 644241 (CA). The NPI Number for SUSAN C NOVAK-NIZAMI (RN) is 1477920841

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SUSAN C NOVAK-NIZAMI (RN)
NPI
1477920841
Phone
(925) 308-8170
Address
2400 BALFOUR RD.
Enumeration Date
1 September 2015
Last Update Date
11 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9253088112
Graduation Year
2016 (10 years ago)
PAC ID
1153609060
Group Practice PAC ID
6608789813
Professional Enrollment ID
I20161027002261
Address ID
CA945134956BR2400XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:10State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for SUSAN C NOVAK-NIZAMI (RN)

  • 2400 BALFOUR RD.

    PATIENT SUPPORT SERVICES

    BRENTWOOD, CA 94513

    Phone: (925) 308-8170

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $91.

Total Amount is formed as General ($91) + Research ($0) + Ownership ($0) = $91.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Amgen Inc. ($37).

Total Amount

$91

General + Research + Ownership

Payments

4

Total payment records

General Amount

$91

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161027002261INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes34582$0
99443Telephone medical discussion with physician, 21-30 minutes3322$0
View full utilization report →

Insurance plans in this area (ZIP 94513)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608789813View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineCA
Family PracticeCA
-CA
-CA
U R O L O G YCA
Internal Medicine, HospitalistCA
-CA
Internal MedicineCA
Hospice/Palliative Care, Internal MedicineCA
Physician AssistantCA

Reviews

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Frequently asked questions

What is the registry number for SUSAN C NOVAK-NIZAMI (RN)?
The registry entry for SUSAN C NOVAK-NIZAMI (RN) shows NPI 1477920841.
Is SUSAN C NOVAK-NIZAMI (RN)'s NPI status active today?
Active status means SUSAN C NOVAK-NIZAMI (RN)'s NPI record is not deactivated in the public file.
What services align with SUSAN C NOVAK-NIZAMI (RN)'s listing?
SUSAN C NOVAK-NIZAMI (RN)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SUSAN C NOVAK-NIZAMI (RN)?
SUSAN C NOVAK-NIZAMI (RN) shows a connection to Brentwood, California in registry-derived data.
Can I export SUSAN C NOVAK-NIZAMI (RN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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