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MS. SUZANN L POLK APRN-BC
NPI 1164523098
Nurse Practitioner - Gerontology in Prescott, AZ

Active since September 25, 2006PECOS Enrolled
2940 SOMERSET DR, PRESCOTT, AZ 86305(928) 541-9024 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Suzann L Polk Aprn-bc NPPES

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

MS. SUZANN L POLK APRN-BC (NPI 1164523098) is an individual gerontology provider in Prescott, Arizona, licensed in Arizona (RN044136/APO199) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164523098
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMS. SUZANN L POLKCredential: APRN-BC
Location Address2940 SOMERSET DRPrescott, AZ 86305-5006
Mailing Address2940 Somerset DrPrescott, AZ 86305-5006 · (928) 541-9024
Phone(928) 541-9024
Sole ProprietorYes
Enumeration DateSeptember 25, 2006
Last NPPES UpdateMarch 30, 2016
✔ NPI 1164523098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AZ · RN044136/APO199
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN044136/APO199 (AZ)
2940 SOMERSET DR, Prescott, AZ 86305
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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)

Ms. Suzann L Polk Aprn-bc 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 86305 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 Suzann Polk's NPI number?

The NPI number for Suzann Polk is 1164523098. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Suzann Polk located?

Suzann Polk practices at 2940 Somerset Dr, Prescott, AZ 86305. The listed phone number is (928) 541-9024.

What is Suzann Polk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Suzann Polk enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Suzann Polk was last updated on March 30, 2016. 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.