AMY POLLACK APNP
NPI 1154786127
Nurse Practitioner - Family in Tomah, WI

Q: What is Amy Pollack's NPI number?

The NPI number for Amy Pollack is 1154786127. It was assigned to this individual provider in the NPPES registry on December 17, 2015.

Q: What is Amy Pollack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Pollack was last updated on December 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.

Active since December 17, 2015PECOS Enrolled

500 E VETERANS ST, TOMAH, WI 54660(608) 372-3971 Get Directions Write a Review

NPPES record last updated: December 17, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amy Pollack Apnp NPPES

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

AMY POLLACK APNP (NPI 1154786127) is an individual family provider in Tomah, Wisconsin, licensed in Wisconsin (6760-33) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154786127

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY POLLACKCredential: APNP

Location Address500 E VETERANS STTomah, WI 54660-3105

Mailing Address21997 Clay AveWarrens, WI 54666-8545 · (608) 387-9028

Phone(608) 372-3971

Sole ProprietorYes

Enumeration DateDecember 17, 2015

✔ NPI 1154786127 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 WI · 6760-33

500 E VETERANS ST, Tomah, WI 54660

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Pollack Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54660 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.

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.

MS. ANNE MARY WALLUS

Dietitian, Registered