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HEATHER DAWN POLISZUK NP
NPI 1487461810
Nurse Practitioner - Family in Hillsboro, OR

Active since December 18, 2024PECOS Enrolled
4660 NE BELKNAP CT STE 119, HILLSBORO, OR 97124(503) 359-4773(503) 359-3809 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2025, Dec 18, 2024 (2 updates tracked since 2024).

About Heather Dawn Poliszuk Np NPPES

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

HEATHER DAWN POLISZUK NP (NPI 1487461810) is an individual family provider in Hillsboro, Oregon, licensed in Oregon (10036853) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Forest Grove.

NPPES Registry Identity

NPI1487461810
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameHEATHER DAWN POLISZUKCredential: NP
Location Address4660 NE BELKNAP CT STE 119Hillsboro, OR 97124-8402
Mailing Address1909 Mountain View Ln Ste 200Forest Grove, OR 97116-2894 · (033) 594-7735 · Fax (503) 359-3809
Phone(503) 359-4773
Fax(503) 359-3809
Sole ProprietorNo
Enumeration DateDecember 18, 2024
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1487461810 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 OR · 10036853
4660 NE BELKNAP CT STE 119, Hillsboro, OR 97124
Open in Google Maps ↗

Other Names 1

Former Name (1)Heather Arneson

Secondary Practice Location 1

Location 11909 Mountain View Ln Ste 200Forest Grove, OR 97116-2894 · Phone (503) 359-4773 · Fax (503) 359-3809

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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)

Heather Dawn Poliszuk Np 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 Heather Poliszuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Timothy J Gray Do LLC
6.9 mi
Family Medicine
1909 MOUNTAIN VIEW LN, #200
Forest Grove, OR 97116
  • Reassigned Medicare billing, Oregon enrollment
  • 12 clinicians in this Medicare group
NPI 1477518694 (503) 359-4773

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 97124 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
$90.51 typical visit price
range $58.99 – $176.88
Typical copayment $22.62 (range $14.74 – $44.22)
Most-billed visit code 99203
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
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 5

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

TARISA OLINSKI PA-C
Physician Assistant
4660 NE BELKNAP CT STE 119
HILLSBORO, OR 97124
Washington County (503) 359-3809
DR. MARIA WATTERS PHD, CRC, LCMHC, LPC
Counselor (Mental Health)
4660 NE BELKNAP CT STE 119
HILLSBORO, OR 97124
Washington County (801) 885-7371
EMILY MOWER PA
Physician Assistant
4660 NE BELKNAP CT STE 119
HILLSBORO, OR 97124
Washington County (503) 359-4773
EMILY R CHARLTON FNP
Nurse Practitioner
4660 NE BELKNAP CT STE 119
HILLSBORO, OR 97124
Washington County (503) 359-4773
JUSTIN ROCHA PA-C
Physician Assistant (Medical)
4660 NE BELKNAP CT STE 119
HILLSBORO, OR 97124
Washington County (503) 359-4773

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 Heather Poliszuk's NPI number?

The NPI number for Heather Poliszuk is 1487461810. It was assigned to this individual provider in the NPPES registry on December 18, 2024. The provider is also known as Heather Arneson.

Where is Heather Poliszuk located?

Heather Poliszuk practices at 4660 NE Belknap Ct Ste 119, Hillsboro, OR 97124. The listed phone number is (503) 359-4773.

What is Heather Poliszuk's specialty?

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

Is Heather Poliszuk enrolled in Medicare?

Yes. Heather Poliszuk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Heather Poliszuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Poliszuk reassigns Medicare benefits to Timothy J Gray Do LLC (Forest Grove, OR). 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 Heather Poliszuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Poliszuk accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Heather Poliszuk 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 Heather Poliszuk was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.