EMILY M POLUS MSN
NPI 1083120091
Nurse Practitioner - Psychiatric/Mental Health in Adrian, MI

Active since December 28, 2017PECOS EnrolledAccepts Medicare Assignment
142 E MAUMEE ST, ADRIAN, MI 49221(517) 263-5810 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2022, Dec 28, 2017 (2 updates tracked since 2017).

About Emily M Polus Msn NPPES

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

EMILY M POLUS MSN (NPI 1083120091) is an individual psychiatric/mental health provider in Adrian, Michigan, licensed in Michigan (4704409510) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083120091
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameEMILY M POLUSCredential: MSN
Location Address142 E MAUMEE STAdrian, MI 49221-2735
Mailing Address4747 Monroe StToledo, OH 43623-4307 · (419) 740-5709
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 28, 2017
Last NPPES UpdateMay 2, 20252 updates tracked since enumeration
NPPES CertifiedMay 2, 2025
✔ NPI 1083120091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in MI · 4704409510✔ Licensed in OH · 0031875
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN.419216 (OH)
142 E MAUMEE ST, Adrian, MI 49221

Secondary Practice Locations 2

Location 16629 W Central AveToledo, OH 43617-1098 · Phone (419) 740-5709
Location 24747 Monroe StToledo, OH 43623-4307 · Phone (419) 721-1381

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily M Polus Msn 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 ID2466978523
PECOS Enrollment IDI20250501001162, I20250805003289
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

2

Medicare enrollment records show Emily Polus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Physician Assistant
142 E MAUMEE ST STE 3
Adrian, MI 49221
  • Reassigned Medicare billing, Michigan enrollment
  • 33 clinicians in this Medicare group
Physician Assistant
34841 VETERANS PLAZA
Wayne, MI 48184
  • Reassigned Medicare billing, Michigan and Ohio enrollments
  • 131 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 49221 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 18

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

Psychologist
142 E MAUMEE ST
ADRIAN, MI 49221
Social Worker (Clinical)
142 E MAUMEE ST, SUITE 3
ADRIAN, MI 49221
Community/Behavioral Health
142 E MAUMEE ST
ADRIAN, MI 49221
Psychiatry & Neurology (Psychiatry)
142 E MAUMEE ST
ADRIAN, MI 49221
Counselor (Professional)
142 E MAUMEE ST, SUITE 2
ADRIAN, MI 49221
Counselor (Mental Health)
142 E MAUMEE ST
ADRIAN, MI 49221
Counselor (Professional)
142 E MAUMEE ST
ADRIAN, MI 49221
Social Worker (Clinical)
142 E MAUMEE ST, STE. 6
ADRIAN, MI 49221

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 Emily Polus's NPI number?

The NPI number for Emily Polus is 1083120091. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Emily Polus located?

Emily Polus practices at 142 E Maumee St, Adrian, MI 49221. The listed phone number is (517) 263-5810.

What is Emily Polus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Emily Polus enrolled in Medicare?

Yes. Emily Polus 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.

Which organizations bill Medicare for Emily Polus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Polus reassigns Medicare benefits to 2 organizations: Acpc PLLC (Adrian, MI) and Pure Psychiatry Of Michigan PLLC (Wayne, MI). 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 Emily Polus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Polus accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 9 other insurers list Emily Polus 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.

When was this NPI record last updated?

The NPPES record for Emily Polus was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.