REBECCA RUTH NOVAK (FNP) – Family Nurse Practitioner, NPI 1124045141

REBECCA RUTH NOVAK (FNP) is a healthcare provider. based in Avon, Colorado. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. APN000634 (NV). The NPI Number for REBECCA RUTH NOVAK (FNP) is 1124045141

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA RUTH NOVAK (FNP)
NPI
1124045141
Phone
(970) 926-6340
Address
50 Buck Creek Rd Ste 200
Enumeration Date
16 July 2006
Last Update Date
6 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9709266350
Graduation Year
1997 (29 years ago)
PAC ID
4486745148
Group Practice PAC ID
5496087181
Professional Enrollment ID
I20160720000776
Address ID
CO816205428AV50XXXRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness75
Years active:19State licenses:4Digital endpointsOther names

5,198 NURSE PRACTITIONER in CO

Provider Addresses for REBECCA RUTH NOVAK (FNP)

  • 50 Buck Creek Rd Ste 200

    Avon, CO 816205428

    Phone: (970) 926-6340

    Fax: (970) 926-6348

    Type: Location

  • 377 Sylvan Lake Rd Ste 120

    Eagle, CO 816316779

    Phone: (970) 926-6340

    Fax: (970) 926-6348

    Type: Location

  • 180 S Frontage Rd W Ste 5800

    Vail, CO 816575038

    Phone: (970) 926-6340

    Type: Location

  • PO BOX 842578

    KANSAS CITY, MO 641842578

    Phone: (970) 926-6350

    Fax: (970) 926-6348

    Type: Mailing

  • 50 BUCK CREEK RD STE 100

    AVON, CO 816205428

    Phone: (970) 945-2840

    Fax: (970) 945-2893

    Type: Location

  • Blake Avenue, Glenwood Springs, Garfield County, Colorado, 81601, United States

    GLENWOOD SPRINGS, CO 816014206

    Phone: (970) 945-2840

    Fax: (970) 945-2893

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-07-20

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
I20160720000776INurse PractitionerCOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 81620)

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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: 5496087181View full group profile
NameSpecialtyState
-CO
Family Practice, Emergency MedicineCO
-CO
Nurse PractitionerCO
Physician AssistantWI
-CO
Emergency Medicine, Preventive MedicineCO
Registered Dietitian Or Nutrition ProfessionalCO
-CO
-CO

Reviews

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Frequently asked questions

What is the standard ID for REBECCA RUTH NOVAK (FNP) in the U.S.?
In the U.S., REBECCA RUTH NOVAK (FNP) is identified by NPI 1124045141.
Quick check: is REBECCA RUTH NOVAK (FNP) active?
Public NPPES data shows REBECCA RUTH NOVAK (FNP) with an active NPI status right now.
How should patients interpret REBECCA RUTH NOVAK (FNP)'s specialty?
The extract shows Family Nurse Practitioner for REBECCA RUTH NOVAK (FNP). Clinical services aligned with this taxonomy classification.
What city is tied to REBECCA RUTH NOVAK (FNP)?
The directory associates REBECCA RUTH NOVAK (FNP) with Avon, Colorado. Check all listed addresses for suites or satellite offices.
Who maintains REBECCA RUTH NOVAK (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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