POLINA YAKUSHCHENKO
NPI 1154046936
Nurse Practitioner - Family in Newnan, GA
About Polina Yakushchenko NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POLINA YAKUSHCHENKO (NPI 1154046936) is an individual family provider in Newnan, Georgia, licensed in Georgia (RN297390) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Polina Yakushchenko is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Polina Yakushchenko reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Phoenix, AZ 85012
- Reassigned Medicare billing, Arizona enrollment
- 538 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 30265 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.
NEWNAN, GA 30265
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 Polina Yakushchenko's NPI number?
The NPI number for Polina Yakushchenko is 1154046936. It was assigned to this individual provider in the NPPES registry on October 5, 2022.
Where is Polina Yakushchenko located?
Polina Yakushchenko practices at 745 Poplar Rd, Newnan, GA 30265. The listed phone number is (770) 400-1100.
What is Polina Yakushchenko's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Polina Yakushchenko enrolled in Medicare?
Yes. Polina Yakushchenko is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Polina Yakushchenko's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Polina Yakushchenko reassigns Medicare benefits to Banner Physician Specialists Arizona LLC (Phoenix, AZ). 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 Polina Yakushchenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Polina Yakushchenko accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Oscar Health, Oscar Insurance Company and UnitedHealthcare list Polina Yakushchenko 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 Polina Yakushchenko was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Polina Yakushchenko · NPI 1154046936
Family physician in Newnan, Georgia. Individual provider, active in the CMS NPPES registry since October 5, 2022.
## Identity
- **NPI:** 1154046936 (Entity type: Individual)
- **Enumerated:** October 5, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN297390 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 745 POPLAR RD, Newnan, GA 30265-1618
- **Phone:** (770) 400-1100
## 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:** Banner Physician Specialists Arizona LLC (NPI 1033730429, Phoenix, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154046936) · Data from the CMS NPPES public registry.