MRS. LISA ANNE POLKKY NP
NPI 1619385366
Nurse Practitioner - Family in Ironwood, MI

Q: What is Lisa Polkky's NPI number?

The NPI number for Lisa Polkky is 1619385366. It was assigned to this individual provider in the NPPES registry on July 25, 2014.

Q: What is Lisa Polkky'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 Lisa Polkky was last updated on August 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 25, 2014PECOS EnrolledAccepts Medicare Assignment

89.68/100

CMS Quality Rating

N10565 GRANDVIEW LN, IRONWOOD, MI 49938(906) 932-1500 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Lisa Anne Polkky Np NPPES

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

MRS. LISA ANNE POLKKY NP (NPI 1619385366) is an individual family provider in Ironwood, Michigan, licensed in Michigan (4704215491) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Aspirus Ironwood Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1619385366

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LISA ANNE POLKKYCredential: NP

Location AddressN10565 GRANDVIEW LNIronwood, MI 49938-9622

Mailing AddressN10565 Grandview LnIronwood, MI 49938-9622 · (906) 932-1500

Phone(906) 932-1500

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 25, 2014

Last NPPES UpdateAugust 18, 2014

✔ NPI 1619385366 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 MI · 4704215491

N10565 GRANDVIEW LN, Ironwood, MI 49938

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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

Mrs. Lisa Anne Polkky Np 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 ID840419826

PECOS Enrollment IDI20140924001860

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 Ironwood Hospital

Critical Access Hospitals · Ironwood, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number231333

LocationN10561 Grand View LaneIronwood, MI 49938 · Gogebic County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49938 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

89.68/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.23

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 3

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

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers15 claims15 services$16.55 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers18 claims18 services$46.84 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

1 supplier14 claims1,848 services$0.10 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.

CHRISTOPHER J POGLIANO MD

Family Medicine (Geriatric Medicine)