Doctor profile · Federal record

Dr. Amanda Novak, PA-C

Physician Assistant · Grand Rapids, MI

  • NPI 1942594338
  • 15 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
200 Jefferson Ave Se
Grand Rapids, MI 495034502
(616) 754-5036
fax (616) 754-4380
Mailing address
5555 Glenwood Hills Pkwy Se Ste 2
Grand Rapids, MI 495122091

Credentials & registration

NPPES · NUCC
NPI registered
June 2011 — 15 yrs on file
Profile last updated
May 10, 2021
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Michigan #5601006053

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1942594338. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$125
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Braeburn INC. 1 $124.99

By nature of payment

Food and Beverage
$125

Frequently asked questions

Auto-generated from federal data
What is Dr. Amanda Novak's medical specialty?
Dr. Amanda Novak practices Physician Assistant in Grand Rapids, MI.
Where does Dr. Amanda Novak practice?
Dr. Amanda Novak practices at 200 Jefferson Ave Se, Grand Rapids, MI 495034502. Office phone: 6167545036.
What is Dr. Amanda Novak's NPI?
Dr. Amanda Novak's National Provider Identifier (NPI) is 1942594338, issued by NPPES.