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

Evan Novak

Individual provider Physician Assistant · NPI 1093448805

Evan Novak is a Physician Assistant in Lebanon, New Hampshire. Qualified in 2023, 3 years ago. Practices with Emergency Physicians of the Rockies, PC, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and New Hampshire.

Years since qualifying
3
Licensed in
CO, NH
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone: (603) 650-5000
Fax: (603) 640-1228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1719 E 19th Ave, Denver, CO 80218-1235 — (720) 754-6000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3682 (NH)
Physician Assistant Taxonomy 363A00000X · Licence PA.0007928 (CO)

Record details

NPI number1093448805
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2022
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Emergency Physicians Of The Rockies, Pc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lebanon