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MIKA POLLY FNP
NPI 1417326547
Nurse Practitioner - Family in Lubbock, TX

Active since September 18, 2015PECOS EnrolledAccepts Medicare Assignment
4642 N LOOP 289, STE 211, LUBBOCK, TX 79416(806) 712-9007 Get Directions Write a Review

NPPES record last updated: September 8, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2017, Dec 16, 2016 (2 updates tracked since 2016).

About Mika Polly Fnp NPPES

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

MIKA POLLY FNP (NPI 1417326547) is an individual family provider in Lubbock, Texas, licensed in Texas (AP129050) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2015).

NPPES Registry Identity

NPI1417326547
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIKA POLLYCredential: FNP
Location Address4642 N LOOP 289, STE 211Lubbock, TX 79416-2425
Mailing Address4802 N Loop 289Lubbock, TX 79416-3025 · (806) 788-0040 · Fax (806) 788-0015
Phone(806) 712-9007
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2015
Enumeration DateSeptember 18, 2015
Last NPPES UpdateSeptember 8, 20172 updates tracked since enumeration
✔ NPI 1417326547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · AP129050
4642 N LOOP 289, Lubbock, TX 79416
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mika Polly Fnp 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 ID6709195480
PECOS Enrollment IDI20151020001419
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.

Hospital Affiliations CMS Care Compare

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79416 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%5,121 patients3/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
74%295 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
9%713 patients1/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
65%713 patients3/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
1%713 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers21 claims21 services$19.25 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers29 claims29 services$103.39 avg. paid by Medicare
Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier17 claims17 services$2,384.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

DARLA F GLEAVES L.A.T.
Specialist/Technologist (Athletic Trainer)
4642 N LOOP 289, SUITE 101
LUBBOCK, TX 79416
Lubbock County (806) 797-4985
SHAMIMA SATTAR M.D.
Internal Medicine
4642 N LOOP 289
LUBBOCK, TX 79416
Lubbock County (806) 722-2161
BRUCE ALLEN OWENS D.O.
Hospitalist
4642 N LOOP 289, STE 215
LUBBOCK, TX 79416
Lubbock County (806) 721-2161
PHYSICAL THERAPY TODAY OF LUBBOCK, LP
Physical Therapist
4642 N LOOP 289, SUITE 205
LUBBOCK, TX 79416
Lubbock County (806) 771-8008
PINNACLE IMAGING, LP
Clinic/Center (Magnetic Resonance Imaging (MRI))
4642 N LOOP 289, SUITE 111
LUBBOCK, TX 79416
Lubbock County (713) 961-4127
MS. LISA MARIE WRAY RN, FNP-C
Nurse Practitioner (Family)
4642 N LOOP 289, SUITE 219
LUBBOCK, TX 79416
Lubbock County (806) 795-7762
DR. MARK W SCIOLI M.D.
Specialist
4642 N LOOP 289, STE 101
LUBBOCK, TX 79416
Lubbock County (806) 797-4985
MS. VIVIAN VANESSA HINER CRNA
Nurse Anesthetist, Certified Registered
4642 N LOOP 289
LUBBOCK, TX 79416
Lubbock County (806) 788-0040

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 Mika Polly's NPI number?

The NPI number for Mika Polly is 1417326547. It was assigned to this individual provider in the NPPES registry on September 18, 2015.

Where is Mika Polly located?

Mika Polly practices at 4642 N Loop 289 Ste 211, Lubbock, TX 79416. The listed phone number is (806) 712-9007.

What is Mika Polly's specialty?

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

Is Mika Polly enrolled in Medicare?

Yes. Mika Polly 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.

What insurance does Mika Polly accept?

Health plans from Blue Cross and Blue Shield of Texas, UnitedHealthcare and WellPoint list Mika Polly 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.

Is Mika Polly affiliated with any hospitals?

According to CMS data, Mika Polly is affiliated with Covenant Medical Center.

When was this NPI record last updated?

The NPPES record for Mika Polly was last updated on September 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.