Active NPI
Noreen M Nowak, CNS
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- Indianapolis, IN
National Provider Identifier
1184676033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse Specialist
- License
- 70000033A
- Practice address
- 1701 N. Senate Blvd
Ag022
Indianapolis, IN 46202 - Phone
- (317) 962-2622
- Fax
- (317) 963-5424
- NPI assigned
- May 17, 2006
- Last updated
- Oct 9, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 28088451A | IN | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | 70000033A | IN | Primary |
Addresses
Primary practice location
1701 N. Senate Blvd
Ag022
Indianapolis, IN 46202
Mailing address
950 N. Meridian Street
Suite 500
Indianapolis, IN 46204
Phone (317) 962-4942
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000219612 | Other | BCBS | |
| 201072120 | Medicaid | IN | |
| 267331000 | Other | MAGELLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28088451A | IN | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Major Hospital | Past | Accepting new patients | |
| Methodist Medical Group Physicians Inc | Past | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients | |
| Indiana University Health Care Associates, Inc | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349740800000",
"number": "1184676033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 N. MERIDIAN STREET",
"address_2": "SUITE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46204",
"telephone_number": "317-962-4942",
"fax_number": "317-962-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N. SENATE BLVD",
"address_2": "AG022",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-962-2622",
"fax_number": "317-963-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOWAK",
"first_name": "NOREEN",
"middle_name": "M",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-17",
"last_updated": "2012-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "IN",
"license": "28088451A",
"primary": false
},
{
"code": "364SP0809X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
"state": "IN",
"license": "70000033A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000219612",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201072120",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "267331000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.