Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jill Marie Nowicki, PA-C

Individual provider Physician Assistant · NPI 1174146203

Jill Marie Nowicki, PA-C is a Physician Assistant in West Sacramento, California. Qualified in 2020, 6 years ago. Practices with Michigan Healthcare Professionals PC, a 520-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1332 Milano Dr Unit 1
West Sacramento, CA 95691-6035
Phone: (586) 850-5263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA58137 (CA)

Record details

NPI number1174146203
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 23, 2020
Last updated in NPPESDecember 29, 2021
Certification dateSeptember 1, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Michigan Healthcare Professionals Pc — 520 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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