BRIANNE PATRICIA JELLEY POLEHINKE PA-C
NPI 1215775200
Physician Assistant - Surgical in New Hyde Park, NY
About Brianne Patricia Jelley Polehinke Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIANNE PATRICIA JELLEY POLEHINKE PA-C (NPI 1215775200) is an individual surgical provider in New Hyde Park, New York and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Long Island Jewish Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Brianne Patricia Jelley Polehinke Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Long Island Jewish Medical Center
Acute Care Hospitals · New Hyde Park, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW HYDE PARK, NY 11040
NEW HYDE PARK, NY 11040
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 Brianne Jelley Polehinke's NPI number?
The NPI number for Brianne Jelley Polehinke is 1215775200. It was assigned to this individual provider in the NPPES registry on July 16, 2024. The provider is also known as Brianne Patricia Polehinke Pa-C.
Where is Brianne Jelley Polehinke located?
Brianne Jelley Polehinke practices at 27005 76th Ave, New Hyde Park, NY 11040. The listed phone number is (718) 470-7500.
What is Brianne Jelley Polehinke's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Brianne Jelley Polehinke enrolled in Medicare?
Yes. Brianne Jelley Polehinke 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.
Is Brianne Jelley Polehinke affiliated with any hospitals?
According to CMS data, Brianne Jelley Polehinke is affiliated with Long Island Jewish Medical Center.
When was this NPI record last updated?
The NPPES record for Brianne Jelley Polehinke was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Brianne Patricia Jelley Polehinke, PA-C · NPI 1215775200
Surgical physician in New Hyde Park, New York. Individual provider, active in the CMS NPPES registry since July 16, 2024.
## Identity
- **NPI:** 1215775200 (Entity type: Individual)
- **Enumerated:** July 16, 2024
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 27005 76TH AVE, New Hyde Park, NY 11040-1402
- **Phone:** (718) 470-7500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** May 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215775200) · Data from the CMS NPPES public registry.