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MELISSA POLISAR CRNA
NPI 1285108381
Nurse Anesthetist, Certified Registered in Lakeland, FL

Active since January 11, 2019Accepts Medicare Assignment
76.41/100
CMS Quality Rating
1600 LAKELAND HILLS BLVD., LAKELAND, FL 33805(863) 680-7830(866) 264-8519 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 3, 2019, Mar 13, 2019, Jan 11, 2019 (3 updates tracked since 2019).

About Melissa Polisar Crna NPPES

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

MELISSA POLISAR CRNA (NPI 1285108381) is an individual nurse anesthetist, certified registered in Lakeland, Florida, licensed in Florida (APRN11001042) and active in the NPI registry since January 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1285108381
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMELISSA POLISARCredential: CRNA
Location Address1600 LAKELAND HILLS BLVD.Lakeland, FL 33805-3019
Mailing Address1600 Lakeland Hills Blvd.Lakeland, FL 33805-3019 · (863) 680-7830 · Fax (866) 264-8519
Phone(863) 680-7830
Fax(866) 264-8519
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 11, 2019
Last NPPES UpdateApril 3, 20193 updates tracked since enumeration
✔ NPI 1285108381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in FL · APRN11001042✔ Licensed in FL · 11001042
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 9432464 (FL)
1600 LAKELAND HILLS BLVD., Lakeland, FL 33805
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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 and accepts Medicare assignment

Melissa Polisar Crna 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 ID1951642479
PECOS Enrollment IDI20190410002601

Medicare Billing Reassignments

9

Medicare enrollment records show Melissa Polisar reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gulf-To-Bay Anesthesiology Associates LLC
24 mi
Anesthesiology
13100 FORT KING RD
Dade City, FL 33525
  • Reassigned Medicare billing, Florida enrollment
  • 1,287 clinicians in this Medicare group
NPI 1982932562 (813) 844-4434
Starlight Anesthesia
26 mi
Anesthesiology
27814 SUMMERGATE BLVD
Wesley Chapel, FL 33544
  • Reassigned Medicare billing, Florida enrollment
  • 16 clinicians in this Medicare group
NPI 1205559739 (888) 851-4642
Anesthesiology Professional Services, Inc.
33 mi
Anesthesiology
2333 W HILLSBOROUGH AVE STE 110
Tampa, FL 33603
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
NPI 1902856891 (813) 569-6500
James G Hankerson PA
33 mi
Anesthesiology
2727 W. MARTIN LUTHER KING BLVD., SUITE 150
Tampa, FL 33607
  • Reassigned Medicare billing, Florida enrollment
  • 84 clinicians in this Medicare group
NPI 1235332354 (813) 885-6666
West Central Gastroenterology LLP
46 mi
Gastroenterology
3001 EXECUTIVE DR, SUITE 130
Clearwater, FL 33762
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1144454703 (727) 347-0005
Anesthesia Dynamics LLC
54 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Florida enrollment
  • 1,887 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642
Anesthesia Services Of Manatee LLC
57 mi
Nurse Anesthetist, Certified Registered
5817 21ST AVE W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 40 clinicians in this Medicare group
NPI 1699153064 (941) 794-0379
Florida Anesthesia, LLC
57 mi
Anesthesiology
5817 21ST AVE W
Bradenton, FL 34209
  • Reassigned Medicare billing, Florida enrollment
  • 41 clinicians in this Medicare group
NPI 1083179311 (863) 382-0385
Fleming Island Anesthesia LLC
141 mi
Anesthesiology
1670 EAGLE HARBOR PKWY
Orange Park, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 876 clinicians in this Medicare group
NPI 1487945895 (904) 644-0700

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 4

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.

Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
22 services22 patients
Anesthesia for procedure on anus and rectum 00902
Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.
21 services21 patients
Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01940
This is a procedure where anesthesia is applied to numb specific nerves in your lower back. Using imaging guidance, the doctor can accurately locate these nerves through the skin. This is done to alleviate pain by disrupting nerve signals. It's a safe and effective method.
17 services16 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33805 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

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.

76.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.87
Promoting Interoperability100
Improvement Activities40
Cost59.5

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.

NATHAN YOUNT
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Polk County (863) 680-7830
VINDYA BOELKE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Polk County (863) 680-7190
STEVEN GERARD ACHINGER MD
Internal Medicine (Nephrology)
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Polk County (863) 680-7190
TITO C. SALDANA MD
Anesthesiology
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Polk County (863) 680-7000
MS. MELISSA MARIE KEMPLE CRNA
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Polk County (863) 680-7000
JAYSON L. BILBY CRNA
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Polk County (863) 680-7000
MATTHEW EDWARD ZANKE CRNA
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Polk County (863) 680-7000
MR. DEAN WILLIAM JANI CRNA
Nurse Anesthetist, Certified Registered
1600 LAKELAND HILLS BLVD.
LAKELAND, FL 33805
Polk County (863) 680-7000

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 Melissa Polisar's NPI number?

The NPI number for Melissa Polisar is 1285108381. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Where is Melissa Polisar located?

Melissa Polisar practices at 1600 Lakeland Hills Blvd., Lakeland, FL 33805. The listed phone number is (863) 680-7830.

What is Melissa Polisar's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Melissa Polisar enrolled in Medicare?

Yes. Melissa Polisar 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 Melissa Polisar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melissa Polisar reassigns Medicare benefits to 9 organizations: Gulf-To-Bay Anesthesiology Associates LLC (Dade City, FL), Starlight Anesthesia (Wesley Chapel, FL), Anesthesiology Professional Services, Inc. (Tampa, FL), James G Hankerson PA (Tampa, FL), West Central Gastroenterology LLP (Clearwater, FL) and 4 more organizations, listed in the Medicare section above. 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 Melissa Polisar'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 Melissa Polisar was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.