MRS. NICAYLA S POLANCO FNP-BC
NPI 1194347922
Nurse Practitioner - Family in Fayetteville, NC
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
Specialties & Licenses
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Nicayla Polanco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Biscoe, NC 27209
- Reassigned Medicare billing, North Carolina enrollment
- 123 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.
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.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, NC 28304
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.
Which organization bills Medicare for Nicayla Polanco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicayla Polanco reassigns Medicare benefits to Carolina Quickcare Family Practice, PLLC (Biscoe, NC). 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 Nicayla Polanco'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 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.
# Mrs. Nicayla S Polanco, FNP-BC · NPI 1194347922
Family physician in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since May 14, 2020.
## Identity
- **NPI:** 1194347922 (Entity type: Individual)
- **Enumerated:** May 14, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5013351 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1991 FORDHAM DR, Fayetteville, NC 28304-3773
- **Phone:** (910) 491-1851
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Carolina Quickcare Family Practice, PLLC (NPI 1881360899, Biscoe, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** December 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194347922) · Data from the CMS NPPES public registry.