| Kimberly Ann Nowack, | |
| 
					3780 Medina Rd, Medina, OH 44256-9311  | |
| (330) 721-7604 | |
| Not Available | 
| Full Name | Kimberly Ann Nowack | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Psychiatric/mental Health | 
| Location | 3780 Medina Rd, Medina, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811629173 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN312992 (Ohio) | Secondary | 
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0031605 (Ohio) | Primary | 
| Entity Name | Summa Physicians Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1235167719 PECOS PAC ID: 2961303532 Enrollment ID: O20040116000295  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kimberly Ann Nowack, 3593 Medina Rd # 105, Medina, OH 44256-8182 Ph: () -  | Kimberly Ann Nowack, 3780 Medina Rd, Medina, OH 44256-9311 Ph: (330) 721-7604  | 
Margaret Hosfield Maisel, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5075 Windfall Rd, Medina, OH 44256 Phone: 330-722-4771 Fax: 330-722-5266  | |
Jessica Gutwein, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-721-5700  | |
Becky Coyner, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1000 E. Washington Street, Medina, OH 44256 Phone: 330-721-4955  | |
Caroline Molony, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3593 Reserve Commons Drive, Medina, OH 44256 Phone: 330-536-3746  | |
Cheryl Ann Green,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 970 E Washington St Ste 2f, Medina, OH 44256 Phone: 330-723-7999 Fax: 330-764-9907  | |
Holly Zienkowski, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 E Washington St, Medina, OH 44256 Phone: 330-466-6919  | |
Ms. Jessica Lynne Johnson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 970 E Washington St Ste 4b, Medina, OH 44256 Phone: 330-721-5700 Fax: 330-721-5337  |