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JASON ALEXANDER POLANCO
NPI 1215874813
Social Worker - Clinical in Durham, NC

Active since May 01, 2026PECOS Enrolled
1301 FAYETTEVILLE ST, DURHAM, NC 27707(919) 956-4059 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason Alexander Polanco NPPES

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

JASON ALEXANDER POLANCO (NPI 1215874813) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (C020031) and active in the NPI registry since May 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215874813
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJASON ALEXANDER POLANCO
Location Address1301 FAYETTEVILLE STDurham, NC 27707-2398
Mailing Address1301 Fayetteville StDurham, NC 27707-2398 · (919) 956-4059
Phone(919) 956-4059
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMay 1, 2026
NPPES CertifiedMay 1, 2026
✔ NPI 1215874813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NC · C020031
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
1301 FAYETTEVILLE ST, Durham, NC 27707
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Alexander Polanco is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880150978
PECOS Enrollment IDI20260729001928
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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Polanco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lincoln Community Health Center Incorporated
Same address
Federally Qualified Health Center (FQHC)
1301 FAYETTEVILLE ST
Durham, NC 27707
  • Reassigned Medicare billing, North Carolina enrollment
  • 66 clinicians in this Medicare group
NPI 1114978582 (919) 956-4000

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 27707 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
$0.00 typical visit price
range $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 20

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

ZHONGFEI LIANG DDS
Dentist (General Practice)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4034
VERONICA ACEVEDO PA-C
Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
TIFFANY A THIEKEN
Nurse Practitioner (Pediatrics)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
ANDREA FLORES MD
Family Medicine
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
RAJEEV KUMAR BAIS M.D.
Internal Medicine
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
DR. JULIANA MILLER HODGES DNP, RN, CPNP-PC
Nurse Practitioner (Pediatrics)
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4074
ERICA C FRIEDMAN PAC
Physician Assistant
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000
NEYSA S HEYWARD M.D.
Pediatrics
1301 FAYETTEVILLE ST
DURHAM, NC 27707
Durham County (919) 956-4000

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 Jason Polanco's NPI number?

The NPI number for Jason Polanco is 1215874813. It was assigned to this individual provider in the NPPES registry on May 1, 2026.

Where is Jason Polanco located?

Jason Polanco practices at 1301 Fayetteville St, Durham, NC 27707. The listed phone number is (919) 956-4059.

What is Jason Polanco's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jason Polanco enrolled in Medicare?

Yes. Jason Polanco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jason Polanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Polanco reassigns Medicare benefits to Lincoln Community Health Center Incorporated (Durham, 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 Jason 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 Jason Polanco was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.