SANDRA ANN POLACHEK FNP-BC
NPI 1265721237
Nurse Practitioner - Family in Minneapolis, MN

Active since March 30, 2011PECOS Enrolled
PO BOX 1459, MINNEAPOLIS, MN 55440(800) 328-5979 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2025, Apr 18, 2019, Jul 26, 2018 (3 updates tracked since 2018).

About Sandra Ann Polachek Fnp-bc NPPES

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

SANDRA ANN POLACHEK FNP-BC (NPI 1265721237) is an individual family provider in Minneapolis, Minnesota, licensed in Missouri (2011008776) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265721237
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDRA ANN POLACHEKCredential: FNP-BC
Location AddressPO BOX 1459Minneapolis, MN 55440-1459
Mailing Address4413 Appletree CtSaint Joseph, MO 64506-3697 · (816) 390-3273
Sole ProprietorNo
Enumeration DateMarch 30, 2011
Last NPPES UpdateApril 4, 20253 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
NPI 1265721237 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 MO · 2011008776
Also ListedRegistered NurseTaxonomy 163W00000X · License 2005011210 (MO)
PO BOX 1459, Minneapolis, MN 55440

Other Names 1

Former Name (1)Sandra Ann Lopez Kemerling

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Sandra Ann Polachek Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55440 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Other Providers at the Same Location NPPES 4

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

Family Medicine
PO BOX 1459
MINNEAPOLIS, MN 55440
Nurse Practitioner (Psychiatric/Mental Health)
PO BOX 1459
MINNEAPOLIS, MN 55440
Nurse Practitioner (Family)
PO BOX 1459
MINNEAPOLIS, MN 55440
Pharmacist
PO BOX 1459
MINNEAPOLIS, MN 55440

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 Sandra Polachek's NPI number?

The NPI number for Sandra Polachek is 1265721237. It was assigned to this individual provider in the NPPES registry on March 30, 2011. The provider is also known as Sandra Ann Lopez Kemerling.

Where is Sandra Polachek located?

Sandra Polachek practices at PO Box 1459, Minneapolis, MN 55440. The listed phone number is (800) 328-5979.

What is Sandra Polachek's specialty?

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

Is Sandra Polachek enrolled in Medicare?

Yes. Sandra Polachek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sandra Polachek was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.