POLINA MAKEDONSKY NP-C
NPI 1396106399
Nurse Practitioner in San Diego, CA

Active since March 18, 2016PECOS EnrolledAccepts Medicare Assignment
4077 FIFTH AVE, SAN DIEGO, CA 92103(619) 294-8111 Get Directions Write a Review

NPPES record last updated: December 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2021, Mar 18, 2016 (2 updates tracked since 2016).

About Polina Makedonsky Np-c NPPES

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

POLINA MAKEDONSKY NP-C (NPI 1396106399) is an individual nurse practitioner in San Diego, California, licensed in California (95004009) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Parkland Health & Hospital System, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1396106399
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NamePOLINA MAKEDONSKYCredential: NP-C
Location Address4077 FIFTH AVESan Diego, CA 92103-2105
Mailing Address6454 Panel CtSan Diego, CA 92122-3007 · (619) 319-0252
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 18, 2016
Last NPPES UpdateDecember 3, 20212 updates tracked since enumeration
✔ NPI 1396106399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95004009
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4077 FIFTH AVE, San Diego, CA 92103

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

Polina Makedonsky Np-c 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 ID7214225135
PECOS Enrollment IDI20240529000515
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

5

Medicare enrollment records show Polina Makedonsky reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
4077 FIFTH AVE
San Diego, CA 92103
  • Reassigned Medicare billing, California enrollment
  • 75 clinicians in this Medicare group
Health Maintenance Organization
1288 CAMINO DEL RIO N
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
Emergency Medicine
7901 FROST ST
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 80 clinicians in this Medicare group
Emergency Medicine
250 PROSPECT PL
Coronado, CA 92118
  • Reassigned Medicare billing, California enrollment
  • 44 clinicians in this Medicare group
Internal Medicine
1625 MEDICAL CENTER DR
El Paso, TX 79902
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkland Health & Hospital System

Acute Care Hospitals · Dallas, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450015
Location5200 Harry Hines BlvdDallas, TX 75235 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 20

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

Hospitalist
4077 FIFTH AVE
SAN DIEGO, CA 92103
Clinical Nurse Specialist (Critical Care Medicine)
4077 FIFTH AVE
SAN DIEGO, CA 92103
Registered Nurse (Neuroscience)
4077 FIFTH AVE
SAN DIEGO, CA 92103
Internal Medicine
4077 FIFTH AVE, MER 35
SAN DIEGO, CA 92103
Emergency Medicine
4077 FIFTH AVE
SAN DIEGO, CA 92103
Student in an Organized Health Care Education/Training Program
4077 FIFTH AVE
SAN DIEGO, CA 92103
Nurse Practitioner (Acute Care)
4077 FIFTH AVE, TRAUMA SERVICES, MER62
SAN DIEGO, CA 92103
Nurse Practitioner (Family)
4077 FIFTH AVE
SAN DIEGO, CA 92103

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 Polina Makedonsky's NPI number?

The NPI number for Polina Makedonsky is 1396106399. It was assigned to this individual provider in the NPPES registry on March 18, 2016.

Where is Polina Makedonsky located?

Polina Makedonsky practices at 4077 Fifth Ave, San Diego, CA 92103. The listed phone number is (619) 294-8111.

What is Polina Makedonsky's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Polina Makedonsky enrolled in Medicare?

Yes. Polina Makedonsky 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 Polina Makedonsky's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Polina Makedonsky reassigns Medicare benefits to 5 organizations: Pacific Emergency Providers, A Prof. Corp. (San Diego, CA), Southern California Permanente Medical Group (San Diego, CA), Emergency Services Medical Corporation (San Diego, CA), Emergency Services Medical Corporation Coronado (Coronado, CA) and University Of Texas Southwestern Medical Center At Dallas (El Paso, TX). 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 Polina Makedonsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Polina Makedonsky affiliated with any hospitals?

According to CMS data, Polina Makedonsky is affiliated with Parkland Health & Hospital System.

When was this NPI record last updated?

The NPPES record for Polina Makedonsky was last updated on December 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.