Individual provider Active NPI

Derick Nowacki, CRNP

  • Urgent Care Clinic/Center
  • Braddock, PA
National Provider Identifier
1871307041
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
SP032116 Issued in PA
Practice address
501 Braddock Ave
Braddock, PA 15104-1856
Phone
(412) 636-5050
NPI assigned
Feb 6, 2025
Last updated
May 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X SP032116 PA Primary
Family Nurse Practitioner 363LF0000X SP032116 PA
Family Medicine Physician 207Q00000X SP032116 PA

Addresses

Primary practice location

501 Braddock Ave
Braddock, PA 15104-1856

Mailing address

3934 Foster St Apt B328
Pittsburgh, PA 15201-3271
Phone (860) 335-4560

Other practice location 1

3934 Foster St Apt B328
Pittsburgh, PA 15201-3271
Phone (314) 888-5233 ext. 1309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250521000895 PA Practitioner - Nurse Practitioner 5092234294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

501 Braddock Ave
Braddock, PA 15104-1856
Phone (412) 636-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP032116PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic CurrentSince May 19, 2025 Accepting new patients
Nowacki Healthcare Consulting PLLC Family Medicine CurrentSince Oct 5, 2025 Accepting new patients
Allegheny Clinic CurrentSince May 19, 2025 Accepting new patients
My Catholic Doctor, P.L.L.C. PastSince Feb 9, 2025 Accepting new patients

Locations

501 Braddock Ave
Braddock, PA 15104
Phone (412) 636-5044

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

100 S Jackson Ave
Pittsburgh, PA 15202
Phone (412) 734-6030

970 Freeport Rd
Pittsburgh, PA 15238
Phone (412) 325-5000

Interoperability endpoints

  • Direct secure messaging: dnowacki1021996@direct.ahn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1738800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1871307041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 FOSTER ST APT B328",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152013271",
            "telephone_number": "860-335-4560",
            "fax_number": "412-753-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BRADDOCK AVE",
            "city": "BRADDOCK",
            "state": "PA",
            "postal_code": "151041856",
            "telephone_number": "412-636-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3934 Foster St Apt B328",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152013271",
            "country_code": "US",
            "telephone_number": "314-888-5233 x1309",
            "fax_number": "412-753-7627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOWACKI",
        "first_name": "DERICK",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-06",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PA",
            "license": "SP032116",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP032116",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP032116",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braddock, PA

Sources for this page

Verify at the official NPI Registry.