SALLY CECILE POLLOCK FNP
NPI 1073863684
Nurse Practitioner in Onalaska, WI

Active since September 12, 2012PECOS EnrolledAccepts Medicare Assignment
191 THEATER RD, ONALASKA, WI 54650(608) 785-0940 Get Directions Write a Review

NPPES record last updated: October 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 12, 2021, Sep 15, 2020, Nov 14, 2018 and 1 more (4 updates tracked since 2018).

About Sally Cecile Pollock Fnp NPPES

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

SALLY CECILE POLLOCK FNP (NPI 1073863684) is an individual nurse practitioner in Onalaska, Wisconsin, licensed in Wisconsin (7727) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and maintains a secondary practice location in Winona.

NPPES Registry Identity

NPI1073863684
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSALLY CECILE POLLOCKCredential: FNP
Location Address191 THEATER RDOnalaska, WI 54650
Mailing Address200 1st St SwRochester, MN 55905-0001 · (608) 785-0940
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 12, 2012
Last NPPES UpdateOctober 12, 20214 updates tracked since enumeration
NPPES CertifiedOctober 12, 2021
NPI 1073863684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in WI · 7727 Licensed in WI · 160229 Licensed in MN · 0702
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R1668894 (MN)
191 THEATER RD, Onalaska, WI 54650

Other Names 1

Former Name (1)Sally Cecile Ustby

Secondary Practice Location 1

Location 1420 E Sarnia StWinona, MN 55987-6365 · Phone (507) 474-7830

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sally Cecile Pollock Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890947238
PECOS Enrollment IDI20170713002728
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
262 services173 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
82 services69 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
36 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520004
Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County
Emergency services Birthing friendly

Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta

Critical Access Hospitals · Sparta, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521305
Location310 W Main StSparta, WI 54656 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54650 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims24 services$3.86 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$22.04 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 20

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

Physical Therapist
191 THEATER RD
ONALASKA, WI 54650
Otolaryngology
191 THEATER RD
ONALASKA, WI 54650
Pediatrics
191 THEATER RD
ONALASKA, WI 54650
Optometrist
191 THEATER RD
ONALASKA, WI 54650
Nurse Practitioner
191 THEATER RD
ONALASKA, WI 54650
Family Medicine
191 THEATER RD
ONALASKA, WI 54650
Family Medicine
191 THEATER RD
ONALASKA, WI 54650
Nurse Practitioner
191 THEATER RD
ONALASKA, WI 54650

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 Sally Pollock's NPI number?

The NPI number for Sally Pollock is 1073863684. It was assigned to this individual provider in the NPPES registry on September 12, 2012. The provider is also known as Sally Cecile Ustby.

Where is Sally Pollock located?

Sally Pollock practices at 191 Theater Rd, Onalaska, WI 54650. The listed phone number is (608) 785-0940.

What is Sally Pollock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sally Pollock enrolled in Medicare?

Yes. Sally Pollock is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sally Pollock accept?

Health plans from Anthem Blue Cross and Blue Shield and Security Health Plan list Sally Pollock as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sally Pollock affiliated with any hospitals?

According to CMS data, Sally Pollock is affiliated with Mayo Clinic Health System-Franciscan Medical Center Inc and Mayo Clinic Hlth Systm Franciscan Hlthcare Sparta.

When was this NPI record last updated?

The NPPES record for Sally Pollock was last updated on October 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.