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JENNIFER GAYLE POLACEK APNP-BC
NPI 1508535360
Nurse Practitioner in Athens, WI

Active since September 07, 2021PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer Gayle Polacek Apnp-bc NPPES

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

JENNIFER GAYLE POLACEK APNP-BC (NPI 1508535360) is an individual nurse practitioner in Athens, Wisconsin, licensed in Wisconsin (11270-33) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Aspirus Medford Hospital & Clinics, Inc, and maintains a secondary practice location in Rib Lake.

NPPES Registry Identity

NPI1508535360
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER GAYLE POLACEKCredential: APNP-BC
Location Address729 PINE STAthens, WI 54411-9305
Mailing AddressW1692 Fawn AveRib Lake, WI 54470-9615 · (715) 560-0193
Phone(715) 257-1686
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 7, 2021
NPPES CertifiedSeptember 7, 2021
✔ NPI 1508535360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 11270-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
729 PINE ST, Athens, WI 54411
Open in Google Maps ↗

Secondary Practice Location 1

Location 1W1692 Fawn AveRib Lake, WI 54470-9615 · Phone (715) 560-0193

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.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

Jennifer Gayle Polacek Apnp-bc 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 ID941699938
PECOS Enrollment IDI20211112001264
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

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

Aspirus Medford Hospital & Clinics, Inc

Critical Access Hospitals · Medford, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521324
Location135 S Gibson StMedford, WI 54451 · Taylor County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54411 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

FAMILY HEALTH CENTER OF MARSHFIELD, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
729 PINE ST
ATHENS, WI 54411
Marathon County (715) 257-7521
ASPIRUS MEDFORD HOSPITAL & CLINICS, INC.
Clinic/Center (Rural Health)
729 PINE ST
ATHENS, WI 54411
Marathon County (715) 748-8100

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 Jennifer Polacek's NPI number?

The NPI number for Jennifer Polacek is 1508535360. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Jennifer Polacek located?

Jennifer Polacek practices at 729 Pine St, Athens, WI 54411. The listed phone number is (715) 257-1686.

What is Jennifer Polacek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jennifer Polacek enrolled in Medicare?

Yes. Jennifer Polacek 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 Jennifer Polacek accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Jennifer Polacek 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 Jennifer Polacek affiliated with any hospitals?

According to CMS data, Jennifer Polacek is affiliated with Aspirus Medford Hospital & Clinics, Inc.

When was this NPI record last updated?

The NPPES record for Jennifer Polacek was last updated on September 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.