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COLE MATTHEW POLNOW PA
NPI 1538939434
Physician Assistant in Fort Wayne, IN

Active since January 03, 2024PECOS EnrolledAccepts Medicare Assignment
7900 W JEFFERSON BLVD STE 306, FORT WAYNE, IN 46804(260) 458-3610(260) 458-3611 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2024, Jan 3, 2024 (2 updates tracked since 2024).

About Cole Matthew Polnow Pa NPPES

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

COLE MATTHEW POLNOW PA (NPI 1538939434) is an individual physician assistant in Fort Wayne, Indiana, licensed in Indiana (10004299A) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1538939434
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameCOLE MATTHEW POLNOWCredential: PA
Location Address7900 W JEFFERSON BLVD STE 306Fort Wayne, IN 46804-4128
Mailing Address6920 Pointe Inverness Way Ste 200Fort Wayne, IN 46804-7934 · (260) 479-3514 · Fax (260) 479-3520
Phone(260) 458-3610
Fax(260) 458-3611
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 3, 2024
Last NPPES UpdateAugust 14, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
✔ NPI 1538939434 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 IN · 10004299A
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.
7900 W JEFFERSON BLVD STE 306, Fort Wayne, IN 46804
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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

Cole Matthew Polnow Pa 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 ID8022455625
PECOS Enrollment IDI20240319000821
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.

Lutheran Hospital Of Indiana

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipProprietary
CMS Certification Number150017
Location7950 W Jefferson BlvdFort Wayne, IN 46804 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46804 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

VICTORIA A. VAMOS PA-C
Physician Assistant
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
GEOFFREY A. MCCORD NP
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
MR. KARSTEN EUGENE COOPER PA-C
Physician Assistant
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
MILISSA C. PHILLIPS-BOHLENDER NP
Nurse Practitioner (Family)
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
DR. KEITH DAVID CLANCY M.D.
Surgery (Trauma Surgery)
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
TIANLI DU MD
Surgery (Trauma Surgery)
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610
NICOLE M. KELLNER PA
Physician Assistant
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 479-3514
CONSTANTINE G SAITES MD, MS
Surgery (Trauma Surgery)
7900 W JEFFERSON BLVD STE 306
FORT WAYNE, IN 46804
Allen County (260) 458-3610

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 Cole Polnow's NPI number?

The NPI number for Cole Polnow is 1538939434. It was assigned to this individual provider in the NPPES registry on January 3, 2024.

Where is Cole Polnow located?

Cole Polnow practices at 7900 W Jefferson Blvd Ste 306, Fort Wayne, IN 46804. The listed phone number is (260) 458-3610.

What is Cole Polnow's specialty?

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

Is Cole Polnow enrolled in Medicare?

Yes. Cole Polnow 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 Cole Polnow accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Cole Polnow 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 Cole Polnow affiliated with any hospitals?

According to CMS data, Cole Polnow is affiliated with Lutheran Hospital Of Indiana.

When was this NPI record last updated?

The NPPES record for Cole Polnow was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.