STELLA POLVANOVA N.P.
NPI 1013201557
Nurse Practitioner - Adult Health in Far Rockaway, NY

Q: What is Stella Polvanova's NPI number?

The NPI number for Stella Polvanova is 1013201557. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Q: What is Stella Polvanova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Stella Polvanova was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 01, 2011PECOS Enrolled

529 BEACH 20TH ST, FAR ROCKAWAY, NY 11691(718) 327-7307(718) 327-3294 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Stella Polvanova N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STELLA POLVANOVA N.P. (NPI 1013201557) is an individual adult health provider in Far Rockaway, New York, licensed in New York (F305534-1) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013201557

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSTELLA POLVANOVACredential: N.P.

Location Address529 BEACH 20TH STFar Rockaway, NY 11691-3645

Mailing Address529 Beach 20th StFar Rockaway, NY 11691-3645 · (718) 327-7307 · Fax (718) 327-3294

Phone(718) 327-7307

Fax(718) 327-3294

Sole ProprietorNo

Enumeration DateJune 1, 2011

✔ NPI 1013201557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in NY · F305534-1

Also ListedRegistered NurseTaxonomy 163W00000X · License 486629-1 (NY)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License F340789-1 (NY)

529 BEACH 20TH ST, Far Rockaway, NY 11691

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stella Polvanova N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Stella Polvanova reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multiviz Medical Services PC

Same address

Internal Medicine

529 BEACH 20TH ST
Far Rockaway, NY 11691

Reassigned Medicare billing, New York enrollment
49 clinicians in this Medicare group

NPI 1720373293 (718) 327-7307

Provider Partners Care Management LP

188 mi

Nurse Practitioner

8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045

Reassigned Medicare billing, New York enrollment
27 clinicians in this Medicare group

NPI 1013348028 (443) 275-9800

Provider Profile

550 mi

Internal Medicine

820 E CENTER ST
Blanchester, OH 45107

Reassigned Medicare billing, New York enrollment
13 clinicians in this Medicare group

NPI 1649351214 (937) 783-4949

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheal suction catheter, closed system, each A4605

DME-Other DME · category DE000N

1 supplier11 claims298 services$15.84 avg. paid by Medicare

Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each A7507

DME-Orthotic Devices · category DF000N

1 supplier11 claims330 services$2.41 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers19 claims19 services$37.09 avg. paid by Medicare

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465

DME-Other DME · category DE005N

1 supplier12 claims18 services$922.82 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier11 claims11 services$921.50 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers13 claims13 services$31.74 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALBERT BARAVARIAN M.D.

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

DR. YOLANDE FRANCES BERNARD M.D.

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

DR. OLUTAYO OLAIDE OLASUPO MD

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

CHRISTOPHER EMOVON

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

ROCKAWAY HD LLC

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

529 BEACH 20TH ST, 1ST FLOOR
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

OLUSEGUN OGUNFOWORA MD

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

POLINA KHANINA MD

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

ABIOLA FAMILUSI

Internal Medicine

529 BEACH 20TH ST
FAR ROCKAWAY, NY 11691

Queens County (718) 327-7307

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stella Polvanova's NPI number?

The NPI number for Stella Polvanova is 1013201557. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Where is Stella Polvanova located?

Stella Polvanova practices at 529 Beach 20th St, Far Rockaway, NY 11691. The listed phone number is (718) 327-7307.

What is Stella Polvanova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Stella Polvanova enrolled in Medicare?

Yes. Stella Polvanova is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Stella Polvanova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stella Polvanova reassigns Medicare benefits to 3 organizations: Multiviz Medical Services PC (Far Rockaway, NY), Provider Partners Care Management LP (Columbia, MD) and (Blanchester, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stella Polvanova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Stella Polvanova was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.