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

Individual provider Physician Assistant · NPI 1255760443

Kelli Nowak, PA-C is a Physician Assistant in Palm Springs, California. Qualified in 2013, 13 years ago. Practices with Community Foundation Medical Group, a 284-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
13
Licensed in
CA, IL
In the registry since
2013
Specialties on file
2
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

1100 N Palm Canyon Dr Ste 212
Palm Springs, CA 92262-4426
Phone: (760) 327-7900
Fax: (760) 327-7905
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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 53120 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 085004934 (IL)

Record details

NPI number1255760443
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2013
Last updated in NPPESMarch 25, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Community Foundation Medical Group — 284 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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