KRISTOPHER POLKA NP
NPI 1013864610
Nurse Practitioner - Family in Brunswick, GA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristopher Polka Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kristopher Polka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Brunswick, GA 31520
- Reassigned Medicare billing, Georgia enrollment
- 100 clinicians in this Medicare group
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 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.
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.
BRUNSWICK, GA 31520
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 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.
Where is Kristopher Polka located?
Kristopher Polka practices at 2415 Parkwood Dr, Brunswick, GA 31520. The listed phone number is (912) 466-7000.
What is Kristopher Polka's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kristopher Polka enrolled in Medicare?
Yes. Kristopher Polka is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kristopher Polka's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristopher Polka reassigns Medicare benefits to Emergency Physicians Inc (Brunswick, GA). The 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 Kristopher Polka'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 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 7 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.
# Kristopher Polka, NP · NPI 1013864610
Family physician in Brunswick, Georgia. Individual provider, active in the CMS NPPES registry since March 12, 2026.
## Identity
- **NPI:** 1013864610 (Entity type: Individual)
- **Enumerated:** March 12, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN-NP282514 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 2415 PARKWOOD DR, Brunswick, GA 31520-4722
- **Phone:** (912) 466-7000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Emergency Physicians Inc (NPI 1477001972, Brunswick, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** March 12, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013864610) · Data from the CMS NPPES public registry.