AMBER WILKINSON-POLOMSKY
NPI 1255843363
Social Worker - Clinical in Salem, OR

Active since October 30, 2017PECOS EnrolledAccepts Medicare Assignment
2355 STATE ST STE 101, SALEM, OR 97301(541) 817-7610 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amber Wilkinson-polomsky NPPES

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

AMBER WILKINSON-POLOMSKY (NPI 1255843363) is an individual clinical provider in Salem, Oregon, licensed in Oregon (L10955) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1255843363
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMBER WILKINSON-POLOMSKY
Location Address2355 STATE ST STE 101Salem, OR 97301-4541
Mailing Address2355 State St Ste 101Salem, OR 97301-4541
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 30, 2017
Last NPPES UpdateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1255843363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OR · L10955
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.
Also ListedSocial WorkerTaxonomy 104100000X
2355 STATE ST STE 101, Salem, OR 97301

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

Amber Wilkinson-polomsky 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 ID1153709076
PECOS Enrollment IDI20220606002174
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 Amber Wilkinson-polomsky reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

120 mi
Substance Abuse Rehabilitation Facility
3099 NE DIAMOND LAKE BLVD
Roseburg, OR 97470
  • Reassigned Medicare billing, Oregon enrollment
  • 83 clinicians in this Medicare group
Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Oregon enrollment
  • 234 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 97301 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 $54.96 – $166.64
Typical copayment $0.00 (range $13.74 – $41.66)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.68 – $136.19
Typical copayment $17.16 (range $4.42 – $34.04)
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.

Marriage & Family Therapist
2355 STATE ST STE 101
SALEM, OR 97301
Marriage & Family Therapist
2355 STATE ST STE 101
SALEM, OR 97301
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Social Worker (Clinical)
2355 STATE ST STE 101
SALEM, OR 97301
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Counselor (Mental Health)
2355 STATE ST STE 101
SALEM, OR 97301
Psychologist
2355 STATE ST STE 101
SALEM, OR 97301
Health and Wellness Coach
2355 STATE ST STE 101
SALEM, OR 97301

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 Amber Wilkinson-polomsky's NPI number?

The NPI number for Amber Wilkinson-polomsky is 1255843363. It was assigned to this individual provider in the NPPES registry on October 30, 2017.

Where is Amber Wilkinson-polomsky located?

Amber Wilkinson-polomsky practices at 2355 State St Ste 101, Salem, OR 97301. The listed phone number is (541) 817-7610.

What is Amber Wilkinson-polomsky's specialty?

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

Is Amber Wilkinson-polomsky enrolled in Medicare?

Yes. Amber Wilkinson-polomsky 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 Amber Wilkinson-polomsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Wilkinson-polomsky reassigns Medicare benefits to 2 organizations: Adapt (Roseburg, OR) and Mindful Therapy Group PC (Mountlake Terrace, WA). 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 Amber Wilkinson-polomsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amber Wilkinson-polomsky accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Amber Wilkinson-polomsky 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 Amber Wilkinson-polomsky was last updated on February 13, 2024. 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.