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KATIE POLK APRN
NPI 1164394714
Nurse Practitioner - Psychiatric/Mental Health in Mineral Wells, TX

Active since September 23, 2025PECOS Enrolled
100 TRAVIS DRIVE, MINERAL WELLS, TX 76067(817) 579-4400 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Katie Polk Aprn NPPES

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

KATIE POLK APRN (NPI 1164394714) is an individual psychiatric/mental health provider in Mineral Wells, Texas, licensed in Texas (1001418) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164394714
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATIE POLKCredential: APRN
Location Address100 TRAVIS DRIVEMineral Wells, TX 76067
Mailing Address2101 W Pearl StGranbury, TX 76048-1894
Phone(817) 579-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 23, 2025
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1164394714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1001418
100 TRAVIS DRIVE, Mineral Wells, TX 76067
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Polk Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234622234
PECOS Enrollment IDI20251206000355
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 Reassignment

Medicare enrollment records show Katie Polk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pecan Valley Mhmr Region
32 mi
Community/Behavioral Health
2101 W PEARL ST
Granbury, TX 76048
  • Reassigned Medicare billing, Texas enrollment
  • 29 clinicians in this Medicare group
NPI 1891915708 (817) 579-4400

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 76067 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Katie Polk's NPI number?

The NPI number for Katie Polk is 1164394714. It was assigned to this individual provider in the NPPES registry on September 23, 2025.

Where is Katie Polk located?

Katie Polk practices at 100 Travis Drive, Mineral Wells, TX 76067. The listed phone number is (817) 579-4400.

What is Katie Polk's specialty?

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

Is Katie Polk enrolled in Medicare?

Yes. Katie Polk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Katie Polk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katie Polk reassigns Medicare benefits to Pecan Valley Mhmr Region (Granbury, TX). 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 Katie Polk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katie Polk accept?

Health plans from Oscar Insurance Company list Katie Polk 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 Katie Polk was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.