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

Kimberly Ann Nowack

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1811629173

Kimberly Ann Nowack is a Nurse Practitioner in Medina, Ohio. Qualified in 2022, 4 years ago. Practices with Summa Physicians LLC, a 688-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
4
Licensed in
OH
In the registry since
2022
Specialties on file
2

Practice location Address checks out

3780 Medina Rd
Medina, OH 44256-9311
Phone: (330) 721-7604
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 75 Arch St Ste 410, Akron, OH 44304-1433 — (330) 375-7474
  • 3593 Medina Rd # 105, Medina, OH 44256-8182 — (330) 635-1272

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0031605 (OH)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN312992 (OH)

Record details

NPI number1811629173
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 27, 2022
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024
Mailing address3593 Medina Rd # 105, Medina, OH 44256-8182

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 Summa Physicians Llc — 688 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Medina