Individual provider Active NPI

William E Nowak, D.O.

  • Obstetrics & Gynecology Physician
  • Acme, MI
National Provider Identifier
1194902163
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
WN007303 Issued in MI
Practice address
3990 East M72
Acme, MI 49690
Phone
(231) 938-2366
Fax
(231) 938-5841
NPI assigned
Jan 22, 2008
Last updated
Jan 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X WN007303 MI Primary

Addresses

Primary practice location

3990 East M72
Acme, MI 49690

Mailing address

3990 East M72
Acme, MI 49610
Phone (231) 938-2366

Other identifiers 1

IdentifierTypeStateIssuer
1435577MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000489 MI Practitioner - Obstetrics/Gynecology 3870756588 Reassigns benefits to 1 organization
Practice locations: Acme, MI

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kalkaska Memorial Health CenterGroup PAC ID 3577536002, 57 clinicians

Practice addresses (Care Compare)

3990 E
Suite 72
Acme, MI 49610
Phone (231) 938-2366

3990 E M-72 PO Box
Suite 1739
Acme, MI 49610

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
WN007303MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center Obstetrics & Gynecology Current Accepting new patients
Kalkaska Memorial Health Center CurrentSince May 1, 2015 Accepting new patients
Kalkaska Memorial Health Center CurrentSince May 1, 2015 Accepting new patients
Kalkaska Memorial Health Center Obstetrics & Gynecology Current Accepting new patients
Engel Mind Body Psychiatry PLLC Past Accepting new patients
William E. Nowak, D.O. Obstetrics & Gynecology PastSince Jun 1, 2012 Accepting new patients

Locations

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

Interoperability endpoints

  • Direct secure messaging: wnowak@direct.mhc.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200960000000",
    "number": "1194902163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 EAST M72",
            "city": "ACME",
            "state": "MI",
            "postal_code": "49610",
            "telephone_number": "231-938-2366",
            "fax_number": "231-938-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 EAST M72",
            "city": "ACME",
            "state": "MI",
            "postal_code": "49690",
            "telephone_number": "231-938-2366",
            "fax_number": "231-938-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "WILLIAM",
        "middle_name": "E",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-22",
        "last_updated": "2008-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "WN007303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1435577",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acme, MI

Sources for this page

Verify at the official NPI Registry.