DR. MI CHUNG DIANE POLLACK DNP-BC
NPI 1750708236
Nurse Practitioner - Family in Bronx, NY

Active since March 24, 2014PECOS EnrolledAccepts Medicare Assignment
54 W 225TH ST, BRONX, NY 10463(718) 568-8222 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Oct 30, 2018 (2 updates tracked since 2018).

About Dr. Mi Chung Diane Pollack Dnp-bc NPPES

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

DR. MI CHUNG DIANE POLLACK DNP-BC (NPI 1750708236) is an individual family provider in Bronx, New York, licensed in New York (338631) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1750708236
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. MI CHUNG DIANE POLLACKCredential: DNP-BC
Location Address54 W 225TH STBronx, NY 10463-7002
Mailing AddressMedrite Urgent Care, 54 West 225th St.Bronx, NY 10463 · (718) 568-8222
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 24, 2014
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1750708236 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
Licenses✔ Licensed in NY · 338631✔ Licensed in CT · 016434
54 W 225TH ST, Bronx, NY 10463

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mi Chung Diane Pollack Dnp-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 ID840508511
PECOS Enrollment IDI20260310001376
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mi Chung Diane Pollack reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
127 S BROADWAY
Yonkers, NY 10701
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Joseph's Hospital Yonkers
  • 233 clinicians in this Medicare group
Emergency Medicine
638 COLUMBUS AVE
New York, NY 10024
  • Reassigned Medicare billing, New York enrollment
  • 245 clinicians in this Medicare group
Health Service
120 CONNECTICUT AVENUE
Norwalk, CT 06854
  • Reassigned Medicare billing, Connecticut enrollment
  • 60 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10463 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Mi Chung Diane Pollack's NPI number?

The NPI number for Mi Chung Diane Pollack is 1750708236. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Mi Chung Diane Pollack located?

Mi Chung Diane Pollack practices at 54 W 225th St, Bronx, NY 10463. The listed phone number is (718) 568-8222.

What is Mi Chung Diane Pollack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mi Chung Diane Pollack enrolled in Medicare?

Yes. Mi Chung Diane Pollack 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.

Which organizations bill Medicare for Mi Chung Diane Pollack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mi Chung Diane Pollack reassigns Medicare benefits to 3 organizations: St. Joseph's Hospital & Medical Center (Yonkers, NY), Icahn School Of Medicine At Mount Sinai (New York, NY) and Norwalk Community Health Center Inc (Norwalk, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mi Chung Diane Pollack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mi Chung Diane Pollack was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.