ALLISON NOWAK – Acute Care Nurse Practitioner, NPI 1710719612

ALLISON NOWAK is a healthcare provider. based in Tinley park, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209030290 (IL). The NPI Number for ALLISON NOWAK is 1710719612

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ALLISON NOWAK
NPI
1710719612
Phone
(815) 514-8668
Address
16834 ELM LANE DR
Enumeration Date
19 August 2024
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8888240200
Graduation Year
2024 (2 years ago)
PAC ID
6800316514
Group Practice PAC ID
7719899426
Professional Enrollment ID
I20250225003259
Address ID
IL606371443CH5841XAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for ALLISON NOWAK

  • 16834 ELM LANE DR

    TINLEY PARK, IL 604772808

    Phone: (815) 514-8668

    Type: Mailing

  • 5758 S MARYLAND AVE

    CHICAGO, IL 606371426

    Phone: (773) 702-2500

    Fax: (773) 702-4187

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $60.

Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($35).

Total Amount

$60

General + Research + Ownership

Payments

2

Total payment records

General Amount

$60

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2025-02-25

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
I20250225003259INurse PractitionerILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60477)

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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: 7719899426View full group profile
NameSpecialtyState
Emergency MedicineIL
N E U R O L O G YIL
General SurgeryIN
Pediatric Medicine, Emergency MedicineIL
-IL
-IL
Cardiovascular Disease (Cardiology)IL
-IL
Nurse PractitionerMI
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

What NPI should I save for ALLISON NOWAK?
Save NPI 1710719612 if you need a stable reference for ALLISON NOWAK.
Is ALLISON NOWAK active in the national directory?
ALLISON NOWAK's public NPI profile is in an active state.
What field does ALLISON NOWAK work in?
You can think of ALLISON NOWAK as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ALLISON NOWAK's primary listing?
We display Tinley Park, Illinois because that is what the record indicates for ALLISON NOWAK.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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