MEDICARE: NOWACKI HEALTHCARE CONSULTING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207Q00000X	Family Medicine Physician
2	261QU0200X	Urgent Care Clinic/Center
3	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1497628192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOWACKI HEALTHCARE CONSULTING PLLC

Provider Business Mailing Address
First Line	:	3934 FOSTER ST APT B328
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-3271
Country	:	US
Telephone Number	:	860-335-4560
Fax Number	:	412-753-7627

Provider Business Practice Location Address
First Line	:	3934 FOSTER ST APT B328
Second Line	:	APT B328
City	:	PITTSBURGH
State	:	PA
Zip	:	15201-3271
Country	:	US
Telephone Number	:	814-688-7793
Fax Number	:	412-753-7627

Authorized Official
Title or Position	:	CEO
Name	:	DERICK NOWACKI
Credential	:	CRNP
Telephone Number	:	860-335-4560

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	05/22/2026

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