JESSICA LYNN NOVAK (CRNA) – Certified Registered Nurse Anesthetist, NPI 1023651304

JESSICA LYNN NOVAK (CRNA) is a healthcare provider. based in Salt lake city, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 103163453102 (UT). The NPI Number for JESSICA LYNN NOVAK (CRNA) is 1023651304

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LYNN NOVAK (CRNA)
NPI
1023651304
Phone
(201) 248-1689
Address
731 S DOUGLAS ST
Enumeration Date
19 October 2019
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5188914141
Graduation Year
2019 (7 years ago)
PAC ID
0446688758
Group Practice PAC ID
7719041102
Professional Enrollment ID
I20200320000974
Address ID
NY129835644SA2233X86XX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

2,475 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NY

Loading map...

Provider Addresses for JESSICA LYNN NOVAK (CRNA)

  • 731, Douglas Street, Salt Lake City, Salt Lake County, Utah, 84102, United States

    SALT LAKE CITY, UT 841023717

    Phone: (201) 248-1689

    Type: Mailing

  • 86, Beaver Pond, Saranac Lake, Essex County, New York, 12983, United States

    SARANAC LAKE, NY 129835644

    Phone: (518) 891-4141

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2020-03-20

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
I20200320000974ICertified Registered Nurse Anesthetist (Crna)NYTBD

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
01402Anesthesia for procedure for total knee joint replacement2323$0
00812Anesthesia for exam of colon using an endoscope1313$0
01214Anesthesia for total hip replacement1313$0
View full utilization report →

Insurance plans in this area (ZIP 84102)

Loading plans...

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: 7719041102View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)PA
A N E S T H E S I O L O G YVA
-VT
Certified Registered Nurse Anesthetist (Crna)NY
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YNY
Certified Registered Nurse Anesthetist (Crna)NY
-NY
Certified Registered Nurse Anesthetist (Crna)CO

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for JESSICA LYNN NOVAK (CRNA) in the U.S.?
In the U.S., JESSICA LYNN NOVAK (CRNA) is identified by NPI 1023651304.
Quick check: is JESSICA LYNN NOVAK (CRNA) active?
Public NPPES data shows JESSICA LYNN NOVAK (CRNA) with an active NPI status right now.
What services align with JESSICA LYNN NOVAK (CRNA)'s listing?
JESSICA LYNN NOVAK (CRNA)'s public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is JESSICA LYNN NOVAK (CRNA) tied to Salt Lake City, Utah?
If you are local to Salt Lake City, Utah, JESSICA LYNN NOVAK (CRNA) may be relevant to your search.
Why is information missing for JESSICA LYNN NOVAK (CRNA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

EMMETT WAYNE SEXTON

Certified Registered Nurse Anesthetist
3838 S 700 E
NPI: 1649264664

ROGER SAUSEDO (CRNA)

Certified Registered Nurse Anesthetist
PO BOX 27688
NPI: 1073507752

WILLIAM R SMITH (CRNA)

Certified Registered Nurse Anesthetist
700 East, Central City, Salt Lake City, Salt Lake County, Utah, 84102, United States
NPI: 1013901529

NORMA J PETERSON (CRNA)

Certified Registered Nurse Anesthetist
Mario Capecchi Drive, Salt Lake City, Salt Lake County, Utah, 84132, United States
NPI: 1477540706

DR. STEVEN RICHARD MCCOLLEY (CRNA, DSC)

Certified Registered Nurse Anesthetist
1296, South 200 East, Oakridge Highlands, Kaysville, Davis County, Utah, 84037, United States
NPI: 1831186048

HELEN FAITH GARTRELL (CRNA)

Certified Registered Nurse Anesthetist
1445, Tomahawk Drive, Greater Avenues, Salt Lake City, Salt Lake County, Utah, 84103, United States
NPI: 1821085614

JACK HOLLAND (CRNA)

Certified Registered Nurse Anesthetist
8th Avenue C Street
NPI: 1699755231

MS. JOAN BESSEY (CRNA)

Certified Registered Nurse Anesthetist
280, H Street, Greater Avenues, Salt Lake City, Salt Lake County, Utah, 84103, United States
NPI: 1578534137