MISS SAMANTHA ELIZABETH POLIKOWSKI R.N.
NPI 1194134114
Nurse Anesthetist, Certified Registered in Boston, MA
About Miss Samantha Elizabeth Polikowski R.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS SAMANTHA ELIZABETH POLIKOWSKI R.N. (NPI 1194134114) is an individual nurse anesthetist, certified registered in Boston, Massachusetts, licensed in California (95001608) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Miss Samantha Elizabeth Polikowski R.n. 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.
Medicare Billing Reassignments
10Medicare enrollment records show Samantha Polikowski reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boston, MA 02111
- Reassigned Medicare billing, Massachusetts enrollment
- 246 clinicians in this Medicare group
Escondido, CA 92025
- Reassigned Medicare billing, California enrollment
- 33 clinicians in this Medicare group
San Diego, CA 92131
- Reassigned Medicare billing, California enrollment
- 16 clinicians in this Medicare group
Lancaster, CA 93534
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
La Mesa, CA 91941
- Reassigned Medicare billing, California enrollment
- 43 clinicians in this Medicare group
San Diego, CA 92114
- Reassigned Medicare billing, California enrollment
- 8 clinicians in this Medicare group
La Jolla, CA 92037
- Reassigned Medicare billing, California enrollment
- 27 clinicians in this Medicare group
Chula Vista, CA 91911
- Reassigned Medicare billing, California enrollment
- 43 clinicians in this Medicare group
San Diego, CA 92103
- Reassigned Medicare billing, California enrollment
- 112 clinicians in this Medicare group
Thousand Oaks, CA 91361
- Reassigned Medicare billing, California enrollment
- 52 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02114 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.
BOSTON, MA 02114
BOSTON, MA 02114
BOSTON, MA 02114
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 Samantha Polikowski's NPI number?
The NPI number for Samantha Polikowski is 1194134114. It was assigned to this individual provider in the NPPES registry on August 4, 2014.
Where is Samantha Polikowski located?
Samantha Polikowski practices at 55 Fruit St, Boston, MA 02114. The listed phone number is (617) 724-4910.
What is Samantha Polikowski's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Samantha Polikowski enrolled in Medicare?
Yes. Samantha Polikowski 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.
Which organizations bill Medicare for Samantha Polikowski's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Polikowski reassigns Medicare benefits to 10 organizations: Pratt Anesthesiology Associates, Inc (Boston, MA), Escondido Anesthesia Associates LP (Escondido, CA), Equanimity Anesthesia Professional Corporation (San Diego, CA), Southern California Permanente Medical Group (Lancaster, CA), Innovative Anesthesia Consultants PC (La Mesa, CA) and 5 more organizations, listed in the Medicare section above. Each 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 Samantha Polikowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Polikowski was last updated on March 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Miss Samantha Elizabeth Polikowski, R.N. · NPI 1194134114
Nurse Anesthetist, Certified Registered physician in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since August 4, 2014.
## Identity
- **NPI:** 1194134114 (Entity type: Individual)
- **Enumerated:** August 4, 2014
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 95001608 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 FRUIT ST, Boston, MA 02114-2621
- **Phone:** (617) 724-4910
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Pratt Anesthesiology Associates, Inc (NPI 1326085390, Boston, MA); Escondido Anesthesia Associates LP (NPI 1588151120, Escondido, CA); Equanimity Anesthesia Professional Corporation (NPI 1942024393, San Diego, CA); Southern California Permanente Medical Group (NPI 1982863783, Lancaster, CA); Innovative Anesthesia Consultants PC (NPI 1154815264, La Mesa, CA); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 16, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1194134114) · Data from the CMS NPPES public registry.