DERICK NOWACKI CRNP – NPI #1871307041
Clinic/Center

DERICK NOWACKI is an AHC clinic located in BRADDOCK, PA. NPPES has assigned the NPI number 1871307041 to DERICK NOWACKI on February 06, 2025. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was last updated on May 22, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DERICK NOWACKI below.

NPI Profile for
DERICK NOWACKI

NPI Number
1871307041
Enumeration Date

(more than a year ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DERICK NOWACKI
Credentials
CRNP
Primary location
501 BRADDOCK AVE
BRADDOCK, PA 15104-1856
Phone: (412) 636-5050 Fax:
1 Other location(s):
3934 Foster St Apt B328
Pittsburgh, PA 15201-3271
Phone: (314) 888-5233 Ext: 1309
Fax: (412) 753-7627
Mailing address
3934 FOSTER ST APT B328
PITTSBURGH, PA 15201-3271
Phone: (860) 335-4560 Fax: (412) 753-7627
Sole Proprietor
Yes
Updated
Certification Date
May 22, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 PA SP032116
363LF0000X
- Nurse Practitioner / Family		 PA SP032116
207Q00000X
- Family Medicine		 PA SP032116

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.