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

Individual provider Family Nurse Practitioner · NPI 1831817477

Kimberly Ann Novenski is a Nurse Practitioner in Scottsdale, Arizona. Qualified in 2022, 4 years ago. Practices with Nassim Haddad MD PLLC, an 11-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
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Practice location Address checks out

10101 N 92nd St Ste 101
Scottsdale, AZ 85258-4553
Phone: (480) 747-6532
Fax: (480) 889-6865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 279094 (AZ)

Record details

NPI number1831817477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 19, 2022
Last updated in NPPESAugust 19, 2022
Certification dateAugust 17, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Nassim Haddad Md Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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