Individual provider Active NPI

Brian Novinska, MD

  • Anesthesiology Physician
  • West Bend, WI
National Provider Identifier
1780609818
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
43062 Issued in WI
Practice address
3200 Pleasant Valley Rd Ste E
West Bend, WI 53095-9274
Phone
(262) 836-7300
Fax
(262) 836-7301
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 43062 WI Primary

Addresses

Primary practice location

3200 Pleasant Valley Rd Ste E
West Bend, WI 53095-9274

Mailing address

3200 Pleasant Valley Rd Ste E
West Bend, WI 53095-9274
Phone (262) 836-7300

Other identifiers 1

IdentifierTypeStateIssuer
1780609818MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AL, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20060919000414 WI Practitioner - Anesthesiology 9830194208 Reassigns benefits to 3 organizations
I20210104001562 AL Practitioner - Anesthesiology 9830194208 Reassigns benefits to 1 organization
I20230410001049 FL Practitioner - Anesthesiology 9830194208 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Rochester School of Medicine and Dentistry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ams of Gulf Breeze LLCGroup PAC ID 9537326665, 38 clinicians
Ams Baptist LLCGroup PAC ID 6901099688, 80 clinicians

Practice addresses (Care Compare)

1110 Gulf Breeze Pkwy
Gulf Breeze, FL 32561-4884
Phone (850) 934-2000

9400 University Pkwy
Pensacola, FL 32514-5752
Phone (850) 208-6300

Hospital & facility affiliations

  • Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
43062WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ams National LLC Anesthesiology CurrentSince Jul 6, 2023 Accepting new patients
Sunshine State Anesthesia Partners LLC Anesthesiology CurrentSince Nov 11, 2024 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Ams of Gulf Breeze LLC Anesthesiology CurrentSince Mar 13, 2023 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology CurrentSince Jan 1, 2025 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Oct 13, 2023 Accepting new patients
The Medical College of Wisconsin, Inc. Anesthesiology CurrentSince Aug 12, 2024 Accepting new patients
Vituity-Wisconsin Anesthesia SC Anesthesiology Current Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Oct 13, 2023 Accepting new patients
Blue Cloud Anesthesia, LLC Anesthesiology Current Accepting new patients
Providence Hospital Current Accepting new patients
Blue Cloud Anesthesia, LLC Anesthesiology CurrentSince Nov 11, 2025 Accepting new patients
Ams Baptist LLC Anesthesiology CurrentSince Mar 13, 2023 Accepting new patients
Providence Hospital Anesthesiology CurrentSince Jan 4, 2021 Accepting new patients
Anesthesia Services of the Fox Valley SC Anesthesiology Past Accepting new patients
Stevens Point Anesthesia Association, S.C. Anesthesiology Past Accepting new patients

Locations

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

6002 Berryhill Rd
Milton, FL 32570
Phone (850) 474-8688

4650 N Dixie Hwy
Oakland Park, FL 33334
Phone (717) 759-4375

1549 Airport Blvd
Ste 420
Pensacola, FL 32504
Phone (850) 484-8800

511 Hewitt St
Pensacola, FL 32503
Phone (850) 912-6505

9400 University Pkwy
Pensacola, FL 32514
Phone (850) 208-6000

1110 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-1848

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9709 Lakeside Blvd
Ste 350
Spring, TX 77381

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1380 Tullar Rd
Neenah, WI 54956
Phone (920) 205-0379

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

3200 Pleasant Valley Rd
Ste E
West Bend, WI 53095
Phone (262) 836-7300

Interoperability endpoints

  • Direct secure messaging: bnovinska819837@direct.emplifyhealth.org
  • Direct secure messaging: bnovinska830922@direct.froedtert.com

Organizations & group practices 17

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 17

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1780609818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 PLEASANT VALLEY RD STE E",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959274",
            "telephone_number": "262-836-7300",
            "fax_number": "262-836-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 PLEASANT VALLEY RD STE E",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530959274",
            "telephone_number": "262-836-7300",
            "fax_number": "262-836-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVINSKA",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "43062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780609818",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.