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

Individual provider Certified Registered Nurse Anesthetist · NPI 1790482917

Nicholas Novak, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Tahlequah, Oklahoma. Qualified in 2022, 4 years ago. Practices with Northeastern Health System, a 104-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
4
Licensed in
OK
In the registry since
2023
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1400 E Downing St
Tahlequah, OK 74464-3324
Phone: (918) 456-0641
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 211723 (OK)

Record details

NPI number1790482917
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorYes
NPI enumeratedFebruary 8, 2023
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northeastern Health System — 104 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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