JESSICA POBA POLO NP
NPI 1417760976
Nurse Practitioner - Family in Youngsville, NC
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 Youngsville, 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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Jessica Polo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Matthews, NC 28105
- Reassigned Medicare billing, North Carolina enrollment
- 32 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27596 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
YOUNGSVILLE, NC 27596
YOUNGSVILLE, NC 27596
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 700 Us 1 Hwy Ste 100, Youngsville, NC 27596. The listed phone number is (910) 267-0421.
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.
Which organization bills Medicare for Jessica Polo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Polo reassigns Medicare benefits to Ivx Health Of North Carolina, P.C. (Matthews, NC). The 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 Jessica Polo'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 Jessica Polo was last updated on October 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.
# Jessica Poba Polo, NP · NPI 1417760976
Family physician in Youngsville, North Carolina. Individual provider, active in the CMS NPPES registry since January 29, 2025.
## Identity
- **NPI:** 1417760976 (Entity type: Individual)
- **Enumerated:** January 29, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5021579 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 US 1 HWY STE 100, Youngsville, NC 27596-7873
- **Phone:** (910) 267-0421
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ivx Health Of North Carolina, P.C. (NPI 1376290239, Matthews, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** October 31, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417760976) · Data from the CMS NPPES public registry.