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MS. MARIA VICTORIA POLANCO PHYSICIAN ASSISTANT
NPI 1467439455
Physician Assistant in Shakopee, MN

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
1601 SAINT FRANCIS AVE STE 100, SHAKOPEE, MN 55379(952) 428-3535(952) 428-3599 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 10, 2025, Mar 11, 2021, Aug 14, 2019 (3 updates tracked since 2019).

About Ms. Maria Victoria Polanco Physician Assistant NPPES

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

MS. MARIA VICTORIA POLANCO PHYSICIAN ASSISTANT (NPI 1467439455) is an individual physician assistant in Shakopee, Minnesota, licensed in Minnesota (9327) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in Shakopee.

NPPES Registry Identity

NPI1467439455
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MARIA VICTORIA POLANCOCredential: PHYSICIAN ASSISTANT
Location Address1601 SAINT FRANCIS AVE STE 100Shakopee, MN 55379-3384
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Phone(952) 428-3535
Fax(952) 428-3599
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateDecember 29, 2005
Last NPPES UpdateJuly 15, 20253 updates tracked since enumeration
NPPES CertifiedJuly 15, 2025
✔ NPI 1467439455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MN · 9327
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1601 SAINT FRANCIS AVE STE 100, Shakopee, MN 55379
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Secondary Practice Location 1

Location 11415 Saint Francis AveShakopee, MN 55379-3374 · Phone (952) 993-7750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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

Ms. Maria Victoria Polanco Physician Assistant 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 ID9234271685
PECOS Enrollment IDI20100122000339
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 2

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number240104
Location1455 St Francis AvenueShakopee, MN 55379 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55379 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$207.60 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 20

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

DR. NEEL SHAILENDRA JOSHI M.D.
Surgery
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535
LAUREN BENOLKIN C.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535
ELIZABETH MAUREEN KENNEDY LALIBERTE PA-C
Physician Assistant
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 403-3535
DR. MICHAEL REITZ D.O.
Psychiatry & Neurology (Psychiatry)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535
HILARY BREEDON NP
Nurse Practitioner (Psychiatric/Mental Health)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535
MIEN HAI NGUYEN D.O.
Internal Medicine
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535
MRS. ASHLEY M THOMPSON FNP-C
Nurse Practitioner (Family)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (524) 283-5359
ELIZABETH ANNA HOLMQUIST CNP
Nurse Practitioner (Family)
1601 SAINT FRANCIS AVE STE 100
SHAKOPEE, MN 55379
Scott County (952) 428-3535

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 Maria Polanco's NPI number?

The NPI number for Maria Polanco is 1467439455. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Maria Polanco located?

Maria Polanco practices at 1601 Saint Francis Ave Ste 100, Shakopee, MN 55379. The listed phone number is (952) 428-3535.

What is Maria Polanco's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Maria Polanco enrolled in Medicare?

Yes. Maria Polanco 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 Maria Polanco accept?

Health plans from HealthPartners and Medica list Maria Polanco 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 Maria Polanco affiliated with any hospitals?

According to CMS data, Maria Polanco is affiliated with Abbott Northwestern Hospital and St Francis Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Maria Polanco was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.