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

Kimberly R Novak, FNP

Individual provider Family Nurse Practitioner · NPI 1184346793

Kimberly R Novak, FNP is a Nurse Practitioner in Show Low, Arizona. Qualified in 2022, 4 years ago. Practices with Premier Mountain Healthcare LLC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2022
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

5300 S Sutter Dr Ste A
Show Low, AZ 85901-8054
Phone: (928) 251-4244
Fax: (833) 539-1739
Show map & directions

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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 280725 (AZ)

Record details

NPI number1184346793
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESMay 19, 2023
Certification dateMay 19, 2023

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 Premier Mountain Healthcare Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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