Individual provider Active NPI

Matthew Novack, MD

  • Family Medicine Physician
  • Port Angeles, WA
National Provider Identifier
1659875136
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61105776 Issued in WA
Practice address
240 W Front St
Port Angeles, WA 98362-2609
Phone
(360) 452-7891
Fax
(360) 452-8087
NPI assigned
Mar 20, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X MD61105776 WA
Family Medicine Physician 207Q00000X MD61105776 WA Primary

Addresses

Primary practice location

240 W Front St
Port Angeles, WA 98362-2609

Mailing address

240 W Front St
Port Angeles, WA 98362-2609
Phone (360) 452-7891

Other practice location 1

3900 Capital Mall Dr SW
Olympia, WA 98502-5026
Phone (360) 706-6537

Other practice location 2

530 Bogachiel Way
Forks, WA 98331-9120
Phone (360) 374-6271

Other practice location 3

939 Caroline St
Port Angeles, WA 98362-3997
Phone (360) 417-7000

Other identifiers 1

IdentifierTypeStateIssuer
2104109MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20210805000640 WA Practitioner - Family PracticePractitioner - Hospitalist 5294086336 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Olympic Healthcare NetworkGroup PAC ID 3779895396, 31 clinicians
Olympic Medical PhysiciansGroup PAC ID 9537172358, 106 clinicians

Practice addresses (Care Compare)

240 W Front St
Suite a
Port Angeles, WA 98362-2609
Phone (360) 452-7891

939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7000

Hospital & facility affiliations

  • Olympic Medical Home Health Home health agency, Port Angeles, WA, CCN 507072
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Medical Physicians Family Medicine CurrentSince Dec 27, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine Current Accepting new patients
North Olympic Healthcare Network CurrentSince Jan 2, 2023 Accepting new patients
North Olympic Healthcare Network CurrentSince Jan 2, 2023 Accepting new patients
Capital Medical Center Specialty Physicians, LLC Hospitalist CurrentSince Jul 7, 2022 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
Cogent Healthcare of Washington, PC Family Medicine CurrentSince Jul 1, 2021 Accepting new patients
North Olympic Healthcare Network Current Accepting new patients
Multicare Health System CurrentSince Apr 30, 2021 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Family Medicine CurrentSince Apr 30, 2021 Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients

Locations

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

933 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432

433 E 8th St
Port Angeles, WA 98362
Phone (360) 452-3373

939 Caroline St
Port Angeles, WA 98362
Phone (360) 417-7315

1026 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432

240 W Front St
Port Angeles, WA 98362
Phone (360) 452-7891

240 W Front St
Ste A
Port Angeles, WA 98362
Phone (360) 452-7891

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

521 S K St
Tacoma, WA 98405
Phone (253) 403-2900

Interoperability endpoints

  • Direct secure messaging: mnovack2656158@wm.providencedirect.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1659875136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622609",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W FRONT ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622609",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Capital Mall Dr SW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985025026",
            "country_code": "US",
            "telephone_number": "360-706-6537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "530 Bogachiel Way",
            "address_purpose": "LOCATION",
            "city": "Forks",
            "state": "WA",
            "postal_code": "983319120",
            "country_code": "US",
            "telephone_number": "360-374-6271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983623997",
            "country_code": "US",
            "telephone_number": "360-417-7000",
            "fax_number": "360-417-7318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOVACK",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD61105776",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61105776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2104109",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.