KRISTOPHER POLKA NP
NPI 1013864610
Nurse Practitioner - Family in Brunswick, GA

Q: What is Kristopher Polka's NPI number?

The NPI number for Kristopher Polka is 1013864610. It was assigned to this individual provider in the NPPES registry on March 12, 2026.

Q: What is Kristopher Polka's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kristopher Polka was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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 March 12, 2026PECOS Enrolled

2415 PARKWOOD DR, BRUNSWICK, GA 31520(912) 466-7000 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Kristopher Polka Np NPPES

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

KRISTOPHER POLKA NP (NPI 1013864610) is an individual family provider in Brunswick, Georgia, licensed in Georgia (APRN-NP282514) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013864610

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameKRISTOPHER POLKACredential: NP

Location Address2415 PARKWOOD DRBrunswick, GA 31520-4722

Mailing Address109 Newfield StSt Simons Island, GA 31522-1792 · (313) 717-7803

Phone(912) 466-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMarch 12, 2026

NPPES CertifiedMarch 12, 2026

✔ NPI 1013864610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in GA · APRN-NP282514

2415 PARKWOOD DR, Brunswick, GA 31520

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristopher Polka Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032688866

PECOS Enrollment IDI20260520004435

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31520 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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.

Other Providers at the Same Location NPPES 20

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

JAYDA SKYE ANDERSON

Nurse Anesthetist, Certified Registered