POLIANA DESARDEN
NPI 1114695418
Nurse Practitioner - Family in Plant City, FL

Active since September 01, 2021PECOS EnrolledAccepts Medicare Assignment
1703 THONOTOSASSA RD, PLANT CITY, FL 33563(813) 567-5679 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 15, 2023, Jul 13, 2022 (2 updates tracked since 2022).

About Poliana Desarden NPPES

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

POLIANA DESARDEN (NPI 1114695418) is an individual family provider in Plant City, Florida, licensed in Florida (11014816) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1114695418
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePOLIANA DESARDEN
Location Address1703 THONOTOSASSA RDPlant City, FL 33563-4202
Mailing Address1703 Thonotosassa RdPlant City, FL 33563-4202 · (813) 567-5679
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 1, 2021
Last NPPES UpdateMay 15, 20232 updates tracked since enumeration
NPPES CertifiedMay 15, 2023
NPI 1114695418 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 FL · 11014816
1703 THONOTOSASSA RD, Plant City, FL 33563

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

Poliana Desarden 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 ID5092193383
PECOS Enrollment IDI20220526002441
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 7

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.
334 services77 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
38 services38 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.
35 services35 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
32 services23 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
32 services32 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.
30 services24 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33563 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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

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

Family Medicine
1703 THONOTOSASSA RD, SUITE A
PLANT CITY, FL 33563

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 Poliana Desarden's NPI number?

The NPI number for Poliana Desarden is 1114695418. It was assigned to this individual provider in the NPPES registry on September 1, 2021.

Where is Poliana Desarden located?

Poliana Desarden practices at 1703 Thonotosassa Rd, Plant City, FL 33563. The listed phone number is (813) 567-5679.

What is Poliana Desarden's specialty?

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

Is Poliana Desarden enrolled in Medicare?

Yes. Poliana Desarden 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 Poliana Desarden accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and AvMed list Poliana Desarden 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 Poliana Desarden affiliated with any hospitals?

According to CMS data, Poliana Desarden is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Poliana Desarden was last updated on May 15, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.