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CASEY DEANNE POLK APRN, AGACNP-BC
NPI 1467235069
Nurse Practitioner - Gerontology in Dallas, TX

Active since August 16, 2023PECOS Enrolled
5323 HARRY HINES BLVD STOP 7200, DALLAS, TX 75390(214) 648-3111 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2025, Sep 30, 2024, Aug 16, 2023 (3 updates tracked since 2023).

About Casey Deanne Polk Aprn, Agacnp-bc NPPES

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

CASEY DEANNE POLK APRN, AGACNP-BC (NPI 1467235069) is an individual gerontology provider in Dallas, Texas, licensed in Texas (1131805) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467235069
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameCASEY DEANNE POLKCredential: APRN, AGACNP-BC
Location Address5323 HARRY HINES BLVD STOP 7200Dallas, TX 75390-7200
Mailing Address7032 Cedar Creek DrGrand Prairie, TX 75052-1371 · (601) 951-2252
Phone(214) 648-3111
Sole ProprietorNo
Enumeration DateAugust 16, 2023
Last NPPES UpdateDecember 12, 20253 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
✔ NPI 1467235069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TX · 1131805
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 1131805 (TX)
5323 HARRY HINES BLVD STOP 7200, Dallas, TX 75390
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Casey Deanne Polk Aprn, Agacnp-bc 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 Reassignment

Medicare enrollment records show Casey Polk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Texas Southwestern Medical Center At Dallas
Same address
Anatomic Pathology & Clinical Pathology
5323 HARRY HINES BLVD
Dallas, TX 75390
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1104891050 (214) 645-0624

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 75390 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

DR. JOSEPH KASSAB MD, MS
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3111
LEXUS DELICIA WILSON
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-1500
DR. MAAZ AHSAN MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3433
DANIELA ALVAREZ
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-2168
ACILE NAHLAWI MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3433
DR. BRANDON WEST YOUSSI MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-3433
KAILYN MAI LE PA-C
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-1701
DR. ASHLYN RENEE TERRELL DO
Anesthesiology
5323 HARRY HINES BLVD STOP 7200
DALLAS, TX 75390
Dallas County (214) 648-6800

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 Casey Polk's NPI number?

The NPI number for Casey Polk is 1467235069. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Casey Polk located?

Casey Polk practices at 5323 Harry Hines Blvd Stop 7200, Dallas, TX 75390. The listed phone number is (214) 648-3111.

What is Casey Polk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Casey Polk enrolled in Medicare?

Yes. Casey Polk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Casey Polk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casey Polk reassigns Medicare benefits to University Of Texas Southwestern Medical Center At Dallas (Dallas, TX). 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 Casey Polk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Casey Polk accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Casey Polk 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.

When was this NPI record last updated?

The NPPES record for Casey Polk was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.