Misty Novakowski, REGISTERED NURSE

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

981 N Mill St
Plymouth, MI 48170-1425

Phone

(734) 624-2312

NPI assigned

Sep 20, 2018

Last updated

Mar 17, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Devotion Home Health and Personal Care Services

  • Home Health Agency
  • Brighton, MI
  • NPI 1245892223
  NPD Authorized official
• Optimal Home Health, LLC

  dba Comfort Keepers

  • In Home Supportive Care Agency
  • Plymouth, MI
  • NPI 1497405211
  NPD Authorized official

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1265916662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 N MILL ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701425",
            "telephone_number": "810-991-1630",
            "fax_number": "810-991-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 N MILL ST",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481701425",
            "telephone_number": "734-624-2312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAKOWSKI",
        "first_name": "MISTY",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "MI",
            "license": "4704290684",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "87-4123790",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PAY HOME HEALTH AIDE AND NURSING CARE",
            "identifier": "802227339",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@devotionhc.com",
            "affiliation": "N",
            "endpointDescription": "website email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "981 N Mill St",
            "city": "Plymouth",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481701425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Melissa Ansara Nunu
• Hayley Nur
• Kallie Nusbaum
• Jessica Nye

• In Home Supportive Care Agency in Plymouth, MI
• Providers in Plymouth, MI by specialty
• In Home Supportive Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.