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DR. BRANDY RAE POLANCO DNP, FNP-BC, FNP-C
NPI 1386404101
Nurse Practitioner - Primary Care in Estero, FL

Active since March 20, 2024PECOS Enrolled
19148 CORKSCREW RD., ESTERO, FL 33928(941) 882-0770 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2026, May 1, 2024 (2 updates tracked since 2024).

About Dr. Brandy Rae Polanco Dnp, Fnp-bc, Fnp-c NPPES

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

DR. BRANDY RAE POLANCO DNP, FNP-BC, FNP-C (NPI 1386404101) is an individual primary care provider in Estero, Florida, licensed in Florida (11031904) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386404101
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDR. BRANDY RAE POLANCOCredential: DNP, FNP-BC, FNP-C
Location Address19148 CORKSCREW RD.Estero, FL 33928
Mailing Address19148 Elston WayEstero, FL 33928-6630 · (714) 616-8116
Phone(941) 882-0770
Sole ProprietorNo
Enumeration DateMarch 20, 2024
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1386404101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in FL · 11031904
Also ListedNurse PractitionerTaxonomy 363L00000X · License 11031904 (FL)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 11031904 (FL)
19148 CORKSCREW RD., Estero, FL 33928
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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 (PECOS)

Dr. Brandy Rae Polanco Dnp, Fnp-bc, Fnp-c 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.

Medicare Billing Reassignments

2

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

Premier Mobile Health Services Corporation
15 mi
Clinic/Center
10676 COLONIAL BLVD STE 20
Fort Myers, FL 33913
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1639661937 (239) 222-1829
Premier Mobile Medical Clinic PLLC
15 mi
Clinic/Center
10676 COLONIAL BLVD STE 20
Fort Myers, FL 33913
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1386327872 (239) 288-7949

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 33928 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

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 Brandy Polanco's NPI number?

The NPI number for Brandy Polanco is 1386404101. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Brandy Polanco located?

Brandy Polanco practices at 19148 Corkscrew Rd., Estero, FL 33928. The listed phone number is (941) 882-0770.

What is Brandy Polanco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Brandy Polanco enrolled in Medicare?

Yes. Brandy Polanco is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brandy Polanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brandy Polanco reassigns Medicare benefits to 2 organizations: Premier Mobile Health Services Corporation (Fort Myers, FL) and Premier Mobile Medical Clinic PLLC (Fort Myers, FL). 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 Brandy Polanco'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 Brandy Polanco was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.