Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derick Nowacki, CRNP

Individual provider Family Medicine Physician · NPI 1871307041

Derick Nowacki, CRNP is a Nurse Practitioner in Braddock, Pennsylvania. Qualified in 2024, 2 years ago. Practices with Allegheny Clinic, a 2,300-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
2
Licensed in
PA
In the registry since
2025
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

501 Braddock Ave
Braddock, PA 15104-1856
Phone: (412) 636-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3934 Foster St Apt B328, Pittsburgh, PA 15201-3271 — (314) 888-5233

Specialties & licences

Urgent Care Clinic/Center (primary) Taxonomy 261QU0200X · Licence SP032116 (PA)
Family Medicine Physician Taxonomy 207Q00000X · Licence SP032116 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP032116 (PA)

Record details

NPI number1871307041
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNP
Sole proprietorYes
NPI enumeratedFebruary 6, 2025
Last updated in NPPESMay 22, 2026
Certification dateMay 22, 2026
Mailing address3934 Foster St Apt B328, Pittsburgh, PA 15201-3271

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Allegheny Clinic — 2300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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