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JESSICA POBA POLO NP
NPI 1417760976
Nurse Practitioner - Family in Raleigh, NC

Active since January 29, 2025PECOS EnrolledAccepts Medicare Assignment
3320 WAKE FOREST RD STE 450, RALEIGH, NC 27609(919) 790-1717(800) 589-7011 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Poba Polo Np NPPES

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

JESSICA POBA POLO NP (NPI 1417760976) is an individual family provider in Raleigh, North Carolina, licensed in North Carolina (5021579) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1417760976
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA POBA POLOCredential: NP
Location Address3320 WAKE FOREST RD STE 450Raleigh, NC 27609-7300
Mailing Address3320 Wake Forest Rd Ste 450Raleigh, NC 27609-7300 · (919) 790-1717 · Fax (800) 589-7011
Phone(919) 790-1717
Fax(800) 589-7011
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 29, 2025
Last NPPES UpdateJanuary 9, 2026
NPPES CertifiedJanuary 9, 2026
✔ NPI 1417760976 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 NC · 5021579
Also ListedRegistered NurseTaxonomy 163W00000X · License 306939 (NC)
3320 WAKE FOREST RD STE 450, Raleigh, NC 27609
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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

Jessica Poba Polo Np 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 ID2860916947
PECOS Enrollment IDI20250410001060
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 27609 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

MS. KATHERINE MEGAN BOYER PA-C
Physician Assistant
3320 WAKE FOREST RD STE 450
RALEIGH, NC 27609
Wake County (919) 790-1717
LLOYD A HEY M.D., M.S.
Orthopaedic Surgery
3320 WAKE FOREST RD STE 450
RALEIGH, NC 27609
Wake County (919) 790-1717
KRISTINA STANSON PA-C
Physician Assistant (Surgical)
3320 WAKE FOREST RD STE 450
RALEIGH, NC 27609
Wake County (919) 790-1717
HEY CLINIC, PA
Specialist
3320 WAKE FOREST RD STE 450
RALEIGH, NC 27609
Wake County (919) 790-1717

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 Jessica Polo's NPI number?

The NPI number for Jessica Polo is 1417760976. It was assigned to this individual provider in the NPPES registry on January 29, 2025.

Where is Jessica Polo located?

Jessica Polo practices at 3320 Wake Forest Rd Ste 450, Raleigh, NC 27609. The listed phone number is (919) 790-1717.

What is Jessica Polo's specialty?

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

Is Jessica Polo enrolled in Medicare?

Yes. Jessica Polo 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.

When was this NPI record last updated?

The NPPES record for Jessica Polo was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.