DEBRA NOWAK – Nurse Practitioner, NPI 1255630216
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,023 NURSE PRACTITIONER in MO
Provider Addresses for DEBRA NOWAK
126 MISSOURI AVE
FORT LEONARD WOOD, MO 654738952
Phone: (573) 596-1765
Type: Location
21260 OLEAN BLVD STE 204
PORT CHARLOTTE, FL 339526742
Phone: (941) 235-9361
Fax: (941) 235-9362
Type: Mailing
21260 Olean Blvd Ste 204
Port Charlotte, FL 339526742
Phone: (941) 235-9361
Fax: (941) 235-9362
Type: Location
632 DEL PRADO BLVD N
CAPE CORAL, FL 339092278
Phone: (239) 772-5577
Fax: (239) 573-1528
Type: Location
PO BOX 2147
FORT MYERS, FL 339022147
Phone: (239) 772-5577
Fax: (239) 573-1528
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: 2018-06-06
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180606003039 | I | Nurse Practitioner | FL | TBD |
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.
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 65473)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | FL | |
| P O D I A T R Y | FL | |
| Physician Assistant | FL | |
| Orthopedic Surgery | FL | |
| Orthopedic Surgery | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Physical Therapist In Private Practice | FL | |
| Physician Assistant | WI | |
| N E U R O L O G Y | FL |
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