MRS. JESSICA POLK
NPI 1679092050
Nurse Practitioner - Adult Health in Lakeland, FL

Q: What is Jessica Polk's NPI number?

The NPI number for Jessica Polk is 1679092050. It was assigned to this individual provider in the NPPES registry on September 16, 2017.

Q: What is Jessica Polk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Polk was last updated on July 20, 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.

Active since September 16, 2017PECOS EnrolledAccepts Medicare Assignment

80.11/100

CMS Quality Rating

130 PABLO ST, LAKELAND, FL 33803(863) 284-5020(863) 284-5912 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 20, 2022, Mar 17, 2018, Jan 16, 2018 and 1 more (4 updates tracked since 2017).

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About Mrs. Jessica Polk NPPES

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

MRS. JESSICA POLK (NPI 1679092050) is an individual adult health provider in Lakeland, Florida, licensed in Florida (ARNP9293649) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Lakeland Regional Medical Center, and maintains a secondary practice location in Lakeland.

NPPES Registry Identity

NPI1679092050

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMRS. JESSICA POLK

Location Address130 PABLO STLakeland, FL 33803-3818

Mailing Address1324 Lakeland Hills Blvd, Attn: Managed Care Dept.Lakeland, FL 33805-4543

Phone(863) 284-5020

Fax(863) 284-5912

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateSeptember 16, 2017

Last NPPES UpdateJuly 20, 20224 updates tracked since enumeration

NPPES CertifiedJuly 20, 2022

✔ NPI 1679092050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · ARNP9293649

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 9293649 (FL)

130 PABLO ST, Lakeland, FL 33803

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Secondary Practice Location 1

Location 11324 Lakeland Hills BlvdLakeland, FL 33805-4543 · Phone (863) 687-1100

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. Jessica Polk 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 ID3779841945

PECOS Enrollment IDI20171215001279

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

484 services350 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

185 services171 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

66 services61 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

17 services15 patients

Hospital Affiliations CMS Care Compare

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

Lakeland Regional Medical Center

Acute Care Hospitals · Lakeland, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100157

Location1324 Lakeland Hills BlvdLakeland, FL 33805 · Polk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33803 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

80.11/100

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

Scored as part of a group practice

Quality

63.29

Promoting Interoperability

Improvement Activities

Cost

64.85

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.

JENNIFER GLISSON FRASIER APRN

Nurse Practitioner