Individual provider Active NPI

Catherine H Nowka, FNP

  • Family Nurse Practitioner
  • Mackinaw City, MI
National Provider Identifier
1902988777
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704135726 Issued in MI
Practice address
580 S. Nicolet Street
Mackinaw City, MI 49701
Phone
(231) 436-9900
Fax
(231) 436-5357
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704135726 MI Primary

Addresses

Primary practice location

580 S. Nicolet Street
Mackinaw City, MI 49701

Mailing address

580 S. Nicolet Street
P.O. Box 868
Mackinaw City, MI 49701
Phone (231) 436-9900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20070118000101 MI Practitioner - Nurse Practitioner 5597766519 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704135726MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mackinac Straits Health System Inc CurrentSince Oct 5, 2010 Accepting new patients
Mackinac Straits Health System Inc CurrentSince Oct 5, 2010 Accepting new patients
Mackinac Straits Health System Inc Current Accepting new patients
Sleep Diagnostics of Michigan PC PastSince May 1, 2001 Accepting new patients
Mackinac Straits Health System Inc Past Accepting new patients
Mackinac Straits Hospital Authority Past Accepting new patients

Locations

920 S Huron St
Cheboygan, MI 49721
Phone (231) 597-8192

580 S Nicolet St
Mackinaw City, MI 49701
Phone (231) 436-9900

14540 N Mackinaw Hwy
Mackinaw City, MI 49701
Phone (231) 436-9900

420 S Nicolet St
Mackinaw City, MI 49701
Phone (231) 436-9900

1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466

Interoperability endpoints

  • Direct secure messaging: catherinenowka@mshs.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268265600000",
    "number": "1902988777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 S. NICOLET STREET",
            "address_2": "P.O. BOX 868",
            "city": "MACKINAW CITY",
            "state": "MI",
            "postal_code": "49701",
            "telephone_number": "231-436-9900",
            "fax_number": "231-436-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 S. NICOLET STREET",
            "city": "MACKINAW CITY",
            "state": "MI",
            "postal_code": "49701",
            "telephone_number": "231-436-9900",
            "fax_number": "231-436-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWKA",
        "first_name": "CATHERINE",
        "middle_name": "H",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704135726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mackinaw City, MI

Sources for this page

Verify at the official NPI Registry.