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INDYANA POLLEY
NPI 1679036644
Physician Assistant in Modesto, CA

Active since April 08, 2019PECOS Enrolled
1431 MCHENRY AVE STE 100, MODESTO, CA 95350(209) 579-2300 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2022, Jul 15, 2020, Aug 23, 2019 and 1 more (4 updates tracked since 2019).

About Indyana Polley NPPES

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

INDYANA POLLEY (NPI 1679036644) is an individual physician assistant in Modesto, California, licensed in California (PA57094) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679036644
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameINDYANA POLLEY
Location Address1431 MCHENRY AVE STE 100Modesto, CA 95350-4534
Mailing Address1691 The AlamedaSan Jose, CA 95126-2203 · (408) 287-7526
Phone(209) 579-2300
Sole ProprietorNo
Enumeration DateApril 8, 2019
Last NPPES UpdateApril 22, 20224 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
✔ NPI 1679036644 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 CA · PA57094
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.
1431 MCHENRY AVE STE 100, Modesto, CA 95350
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indyana Polley 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95350 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 6

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

ANGELA LEV RN
Registered Nurse
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Stanislaus County (209) 579-2300
ANISHA MELANIE SCOTT FNP-BC
Nurse Practitioner (Family)
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Stanislaus County (209) 579-2300
SARAH ROMERO
Registered Nurse
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Stanislaus County (209) 579-2300
KELSEY ALANA KOSMADAKIS NP
Nurse Practitioner
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Stanislaus County (209) 574-5905
JUHI PATEL
Nurse Practitioner (Women's Health)
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Stanislaus County (209) 579-2300
SARA NICOLE SCLAR
Registered Nurse
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Stanislaus County (209) 579-2300

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 Indyana Polley's NPI number?

The NPI number for Indyana Polley is 1679036644. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Indyana Polley located?

Indyana Polley practices at 1431 Mchenry Ave Ste 100, Modesto, CA 95350. The listed phone number is (209) 579-2300.

What is Indyana Polley's specialty?

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

Is Indyana Polley enrolled in Medicare?

Yes. Indyana Polley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Indyana Polley was last updated on April 22, 2022. 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.