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

Nicholette Nowak

Individual provider Anesthesiology Physician · NPI 1275406662

Nicholette Nowak is an Anesthesiology Assistant in Riverview, Florida. Qualified in 2025, 1 year ago. Practices with Baycare Medical Group, Inc, a 1,530-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

6901 Simmons Loop
Riverview, FL 33578-9498
Phone: (813) 302-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence AA1127 (FL)

Record details

NPI number1275406662
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 9, 2025
Mailing address12644 Colonnade Cir, Clermont, FL 34711-6806

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Baycare Medical Group, Inc. — 1530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Riverview