ERIC A. NOWACZYK – Acute Care Nurse Practitioner, NPI 1336809409

ERIC A. NOWACZYK is a healthcare provider. based in Malvern, Pennsylvania. specializing in NURSE PRACTITIONER. They hold a License No. SP024937 (PA). The NPI Number for ERIC A. NOWACZYK is 1336809409

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
ERIC A. NOWACZYK
NPI
1336809409
Phone
(610) 656-8240
Address
26 GLEN LOCH WAY
Enumeration Date
30 December 2021
Last Update Date
30 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6106421908
Graduation Year
2021 (5 years ago)
PAC ID
8123465150
Group Practice PAC ID
1951215201
Professional Enrollment ID
I20240326001349
Address ID
PA190963450WY100XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

Provider Addresses for ERIC A. NOWACZYK

  • 26 GLEN LOCH WAY

    MALVERN, PA 193551956

    Phone: (610) 656-8240

    Type: Mailing

  • 255 W LANCASTER AVE

    PAOLI, PA 193011763

    Phone: (484) 565-8319

    Type: Location

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: 2024-03-26

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
I20240326001349INurse PractitionerPATBD

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 19355)

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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: 1951215201View full group profile

Reviews

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Frequently asked questions

How do payers reference ERIC A. NOWACZYK?
For ERIC A. NOWACZYK, use NPI 1336809409 as the unique 10-digit identifier.
Active or inactive — what applies to ERIC A. NOWACZYK?
You should see ERIC A. NOWACZYK as active in CMS-hosted NPPES data.
What kind of doctor is ERIC A. NOWACZYK?
ERIC A. NOWACZYK is associated with Acute Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ERIC A. NOWACZYK?
Directory geography for ERIC A. NOWACZYK centers on Malvern, Pennsylvania.
Can I trust this NPI listing for ERIC A. NOWACZYK?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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