STEPHANIE NOWAK (APRN) – Nurse Practitioner, NPI 1700361094

STEPHANIE NOWAK (APRN) is a healthcare provider. based in Melbourne, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 9411851 (FL). The NPI Number for STEPHANIE NOWAK (APRN) is 1700361094

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE NOWAK (APRN)
NPI
1700361094
Phone
(321) 574-9136
Address
1223 GATEWAY DR STE 2H
Enumeration Date
2 October 2018
Last Update Date
23 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3213080659
Graduation Year
2018 (8 years ago)
PAC ID
5991059404
Group Practice PAC ID
0749562452
Professional Enrollment ID
I20181120002522
Address ID
FL329012605ME1515XBLVD401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

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Provider Addresses for STEPHANIE NOWAK (APRN)

  • Gateway Drive, Melbourne, Brevard County, Florida, 32910, United States

    MELBOURNE, FL 329012607

    Phone: (321) 574-9136

    Fax: (321) 676-0091

    Type: Location

  • Health First Business Center (Bldg A), 3300, South Fiske Boulevard, Rockledge, Brevard County, Florida, 32955, United States

    ROCKLEDGE, FL 329554306

    Phone: (321) 361-5607

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $713.

Total Amount is formed as General ($713) + Research ($0) + Ownership ($0) = $713.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: PFIZER INC. ($275).

Total Amount

$713

General + Research + Ownership

Payments

12

Total payment records

General Amount

$713

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2018-11-20

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
I20181120002522INurse PractitionerFLTBD

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
17003Destruction of precancer skin growth, 2-14 growths2,324383$0
99213Established patient office or other outpatient visit, 20-29 minutes955748$0
17000Destruction of precancer skin growth, 1 growth612499$0
11102Biopsy of related skin growth, first growth296260$0
17110Destruction of skin growth, 1-14 growths244224$0
View full utilization report →

Insurance plans in this area (ZIP 32901)

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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: 0749562452View full group profile
NameSpecialtyState
Physician AssistantFL
D E R M A T O L O G YFL

Reviews

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Frequently asked questions

What is the standard ID for STEPHANIE NOWAK (APRN) in the U.S.?
In the U.S., STEPHANIE NOWAK (APRN) is identified by NPI 1700361094.
Should I treat STEPHANIE NOWAK (APRN) as an active provider?
Patients and plans typically see STEPHANIE NOWAK (APRN) as active in the national extract.
What type of care does STEPHANIE NOWAK (APRN) provide?
STEPHANIE NOWAK (APRN)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is STEPHANIE NOWAK (APRN) tied to Melbourne, Florida?
If you are local to Melbourne, Florida, STEPHANIE NOWAK (APRN) may be relevant to your search.
Why is information missing for STEPHANIE NOWAK (APRN)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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