MRS. NICAYLA S POLANCO FNP-BC
NPI 1194347922
Nurse Practitioner - Family in Fayetteville, NC

Active since May 14, 2020PECOS EnrolledAccepts Medicare Assignment
1991 FORDHAM DR, FAYETTEVILLE, NC 28304(910) 491-1851 Get Directions Write a Review

NPPES record last updated: December 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 22, 2023, Nov 6, 2022, Dec 13, 2021 and 4 more (7 updates tracked since 2020).

About Mrs. Nicayla S Polanco Fnp-bc NPPES

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

MRS. NICAYLA S POLANCO FNP-BC (NPI 1194347922) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5013351) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1194347922
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. NICAYLA S POLANCOCredential: FNP-BC
Location Address1991 FORDHAM DRFayetteville, NC 28304-3773
Mailing Address108 Ten Acres TrlRaeford, NC 28376-9672 · (910) 603-8147
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 14, 2020
Last NPPES UpdateDecember 3, 20237 updates tracked since enumeration
NPPES CertifiedDecember 3, 2023
NPI 1194347922 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 NC · 5013351
1991 FORDHAM DR, Fayetteville, NC 28304

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Nicayla S Polanco Fnp-bc 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.

PECOS PAC ID5991116584
PECOS Enrollment IDI20201203001750
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 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1991 FORDHAM DR, SUITE 102
FAYETTEVILLE, NC 28304
Internal Medicine (Cardiovascular Disease)
1991 FORDHAM DR, SUITE 200
FAYETTEVILLE, NC 28304
Occupational Therapist
1991 FORDHAM DR
FAYETTEVILLE, NC 28304
Physical Therapist
1991 FORDHAM DR
FAYETTEVILLE, NC 28304
Physician Assistant (Medical)
1991 FORDHAM DR
FAYETTEVILLE, NC 28304
Ophthalmology
1991 FORDHAM DR, SUITE 301
FAYETTEVILLE, NC 28304
Physical Therapist
1991 FORDHAM DR, SUITE 102
FAYETTEVILLE, NC 28304
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1991 FORDHAM DR
FAYETTEVILLE, NC 28304

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 Nicayla Polanco's NPI number?

The NPI number for Nicayla Polanco is 1194347922. It was assigned to this individual provider in the NPPES registry on May 14, 2020.

Where is Nicayla Polanco located?

Nicayla Polanco practices at 1991 Fordham Dr, Fayetteville, NC 28304. The listed phone number is (910) 491-1851.

What is Nicayla Polanco's specialty?

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

Is Nicayla Polanco enrolled in Medicare?

Yes. Nicayla Polanco 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.

What insurance does Nicayla Polanco accept?

Health plans from Blue Cross and Blue Shield of NC list Nicayla Polanco 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 Nicayla Polanco was last updated on December 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.