DANIELLE MARIE POLEGA NP-C
NPI 1235782772
Nurse Practitioner - Family in Tomahawk, WI

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment
84.56/100
CMS Quality Rating
401 W MOHAWK DR, TOMAHAWK, WI 54487(715) 453-7700 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 20, 2019, Sep 6, 2019, Jul 23, 2019 (3 updates tracked since 2019).

About Danielle Marie Polega Np-c NPPES

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

DANIELLE MARIE POLEGA NP-C (NPI 1235782772) is an individual family provider in Tomahawk, Wisconsin, licensed in Wisconsin (9578-33) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235782772
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDANIELLE MARIE POLEGACredential: NP-C
Location Address401 W MOHAWK DRTomahawk, WI 54487-2274
Mailing Address401 W Mohawk DrTomahawk, WI 54487-2274 · (715) 453-7700
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 23, 2019
Last NPPES UpdateNovember 20, 20193 updates tracked since enumeration
✔ NPI 1235782772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 9578-33
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License 171656 (WI)
401 W MOHAWK DR, Tomahawk, WI 54487

Other Identifiers 1

OtherF07191563WI · Aanp

Accepted Insurance

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

Danielle Marie Polega Np-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.

PECOS PAC ID5597198804
PECOS Enrollment IDI20191127000524
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 Reassignments

2

Medicare enrollment records show Danielle Polega reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
401 W MOHAWK DR
Tomahawk, WI 54487
  • Reassigned Medicare billing, Wisconsin enrollment
  • 935 clinicians in this Medicare group
Rural Health
704 S CLARK ST
Thorp, WI 54771
  • Reassigned Medicare billing, Wisconsin enrollment
  • 48 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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Tomahawk Hospital

Critical Access Hospitals · Tomahawk, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521313
Location401 W Mohawk Dr Suite 100Tomahawk, WI 54487 · Lincoln County
Emergency services

Aspirus Merrill Hospital

Critical Access Hospitals · Merrill, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521339
Location601 S Center AveMerrill, WI 54452 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54487 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.8
Promoting Interoperability100
Improvement Activities40
Cost58.73

Other Providers at the Same Location NPPES 15

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

Specialist/Technologist (Athletic Trainer)
401 W MOHAWK DR
TOMAHAWK, WI 54487
Speech-Language Pathologist
401 W MOHAWK DR
TOMAHAWK, WI 54487
Specialist/Technologist (Athletic Trainer)
401 W MOHAWK DR, SUITE 100
TOMAHAWK, WI 54487
Family Medicine
401 W MOHAWK DR
TOMAHAWK, WI 54487
Physician Assistant
401 W MOHAWK DR
TOMAHAWK, WI 54487
Family Medicine
401 W MOHAWK DR
TOMAHAWK, WI 54487
Clinic/Center (Rural Health)
401 W MOHAWK DR
TOMAHAWK, WI 54487
Speech-Language Pathologist
401 W MOHAWK DR
TOMAHAWK, WI 54487

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 Danielle Polega's NPI number?

The NPI number for Danielle Polega is 1235782772. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Danielle Polega located?

Danielle Polega practices at 401 W Mohawk Dr, Tomahawk, WI 54487. The listed phone number is (715) 453-7700.

What is Danielle Polega's specialty?

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

Is Danielle Polega enrolled in Medicare?

Yes. Danielle Polega 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 Danielle Polega's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Polega reassigns Medicare benefits to 2 organizations: Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Tomahawk, WI) and Aspirus Stanley Hospital & Clinics, Inc (Thorp, WI). 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 Danielle Polega's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Danielle Polega accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Danielle Polega 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.

Is Danielle Polega affiliated with any hospitals?

According to CMS data, Danielle Polega is affiliated with Aspirus Rhinelander Hospital, Aspirus Wausau Hospital, Aspirus Tomahawk Hospital and Aspirus Merrill Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Polega was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.