AMELIE SOPHIA POLANCO NP
NPI 1265290993
Nurse Practitioner - Family in Secaucus, NJ
About Amelie Sophia Polanco Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMELIE SOPHIA POLANCO NP (NPI 1265290993) is an individual family provider in Secaucus, New Jersey, licensed in New York (353797) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amelie Sophia Polanco Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Amelie Polanco reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 452 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 191 clinicians in this Medicare group
New York, NY 10021
- Reassigned Medicare billing, New York enrollment
- 132 clinicians in this Medicare group
Bristol, RI 02809
- Reassigned Medicare billing, New York enrollment
- 188 clinicians in this Medicare group
Princess Anne, MD 21853
- Reassigned Medicare billing, New York enrollment
- 325 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Amelie Polanco's NPI number?
The NPI number for Amelie Polanco is 1265290993. It was assigned to this individual provider in the NPPES registry on March 7, 2024.
Where is Amelie Polanco located?
Amelie Polanco practices at 5000 Brianna Ln Apt 12Q, Secaucus, NJ 07094. The listed phone number is (347) 678-7782.
What is Amelie Polanco's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amelie Polanco enrolled in Medicare?
Yes. Amelie Polanco is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Amelie Polanco's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amelie Polanco reassigns Medicare benefits to 5 organizations: Mskcc Surgery Group (New York, NY), Memorial Neurology Group (New York, NY), Memorial Radiation Oncology Group (New York, NY), Infinite Medical PC (Bristol, RI) and Medical Director Services PC (Princess Anne, MD). 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 Amelie Polanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amelie Polanco accept?
Health plans from UnitedHealthcare list Amelie Polanco 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 Amelie Polanco was last updated on March 7, 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.
# Amelie Sophia Polanco, NP · NPI 1265290993
Family physician in Secaucus, New Jersey. Individual provider, active in the CMS NPPES registry since March 7, 2024.
## Identity
- **NPI:** 1265290993 (Entity type: Individual)
- **Enumerated:** March 7, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 353797 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5000 BRIANNA LN APT 12Q, Secaucus, NJ 07094-4522
- **Phone:** (347) 678-7782
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mskcc Surgery Group (NPI 1699766261, New York, NY); Memorial Neurology Group (NPI 1538130190, New York, NY); Memorial Radiation Oncology Group (NPI 1235109224, New York, NY); Infinite Medical PC (NPI 1407483175, Bristol, RI); Medical Director Services PC (NPI 1871955807, Princess Anne, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 7, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1265290993) · Data from the CMS NPPES public registry.