MRS. POLLYANNA WILSON FNP
NPI 1487884276
Nurse Practitioner - Family in Far Rockaway, NY

Q: What is Pollyanna Wilson's NPI number?

The NPI number for Pollyanna Wilson is 1487884276. It was assigned to this individual provider in the NPPES registry on July 15, 2009.

Q: What is Pollyanna Wilson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Pollyanna Wilson was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since July 15, 2009PECOS EnrolledAccepts Medicare Assignment

1048 BEACH 20TH ST, FAR ROCKAWAY, NY 11691(718) 765-6342(929) 374-1132 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2024, Dec 14, 2023, Aug 13, 2021 and 1 more (4 updates tracked since 2020).

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About Mrs. Pollyanna Wilson Fnp NPPES

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

MRS. POLLYANNA WILSON FNP (NPI 1487884276) is an individual family provider in Far Rockaway, New York, licensed in New York (335079) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jamaica, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1487884276

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. POLLYANNA WILSONCredential: FNP

Location Address1048 BEACH 20TH STFar Rockaway, NY 11691-3900

Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (312) 733-9730

Phone(718) 765-6342

Fax(929) 374-1132

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJuly 15, 2009

Last NPPES UpdateNovember 13, 20244 updates tracked since enumeration

NPPES CertifiedNovember 13, 2024

✔ NPI 1487884276 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 NY · 335079

1048 BEACH 20TH ST, Far Rockaway, NY 11691

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Secondary Practice Location 1

Location 111515 Sutphin BlvdJamaica, NY 11434-1020 · Phone (718) 765-6009 · Fax (347) 682-4302

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

Mrs. Pollyanna Wilson Fnp 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 ID8022232875

PECOS Enrollment IDI20190924003316

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

65 services36 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

19 services19 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11691 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

$104.17 typical visit price

range $67.00 – $201.98

Typical copayment $26.04 (range $16.75 – $50.49)

Most-billed visit code 99203

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

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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.

DR. LAXMI KUMARI MD

Family Medicine