NPIMap

Individual provider Active NPI

Jason Daniel Nowak, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Redding, CA
National Provider Identifier
1831402155
Registry record updated Aug 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5027 Issued in CA
Practice address
1255 Liberty St
Redding, CA 96001-0814
Phone
(230) 246-2467
Fax
(530) 246-5632
NPI assigned
Jul 15, 2010
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 16

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

View all 16

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shasta Orthopedics and Sports Medicine a Medical Corporation 36 clinicians
Froedtert Manitowoc Medical Group, LLC 156 clinicians
North Shore Foot and Ankle, S.C. 3 clinicians

Practice addresses (Care Compare)

1255 Liberty St
Redding, CA 96001-0814
Phone (530) 246-2467

1414 N Taylor Dr
Sheboygan, WI 53081-1988
Phone (920) 320-2436

1650 S 41St St
Manitowoc, WI 54220-7316
Phone (920) 320-2011

2005 S Lake Park Rd
Appleton, WI 54915-4155
Phone (920) 882-9990

2300 Western Ave
Manitowoc, WI 54220-3712
Phone (920) 320-2011

Hospital & facility affiliations

  • Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107
  • Thedacare Regional Medical Center - Appleton Inc Hospital, Appleton, WI, CCN 520160
  • Ascension NE Wisconsin - St Elizabeth Campus Hospital, Appleton, WI, CCN 520009
  • Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
  • Thedacare Regional Med Ctr - Neenah Hospital, Neenah, WI, CCN 520045

Merit-based Incentive Payment System (MIPS)

Final score
96.52 of 100Reported as group
Quality
92.31
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue16
Removal or shaving of skin growth1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130501000540 CA Practitioner - Podiatry 6204073687 Reassigns benefits to 1 organization
I20251015003009 WI Practitioner - Podiatry 6204073687 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1307-25WIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shasta Orthopedics & Sports Medicine a Medical Corporation CurrentSince Jun 1, 2013 Accepting new patients
North Shore Foot & Ankle, S.C. Podiatrist CurrentSince Sep 1, 2025 Accepting new patients
North Shore Foot & Ankle, S.C. Podiatrist CurrentSince Sep 1, 2025 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Feb 18, 2026 Accepting new patients
Apogee Outpatient Surgery Center Past Accepting new patients

Locations

1255 Liberty St
Redding, CA 96001
Phone (530) 246-2467

2005 S Lake Park Rd
Appleton, WI 54915
Phone (920) 882-9990

1650 S 41st St
Manitowoc, WI 54220
Phone (920) 320-3100

217 Ceape Ave
Oshkosh, WI 54901
Phone (920) 882-9990

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1307-25 WI
Foot & Ankle Surgery Podiatrist 213ES0103X E5027 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1255 Liberty St
Redding, CA 96001-0814

Mailing address

PO Box 991950
Redding, CA 96099-1950
Phone (230) 246-2467

Other practice location 1

2005 S Lake Park Rd
Appleton, WI 54915-4155
Phone (920) 882-9990

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2025.

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755561600000",
    "number": "1831402155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991950",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960991950",
            "telephone_number": "230-246-2467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 LIBERTY ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010814",
            "telephone_number": "230-246-2467",
            "fax_number": "530-246-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 S Lake Park Rd",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549154155",
            "country_code": "US",
            "telephone_number": "920-882-9990",
            "fax_number": "920-882-9544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWAK",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-15",
        "last_updated": "2025-08-19",
        "certification_date": "2025-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1307-25",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.