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: July 19, 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, and ordering and referring status from the CMS PECOS system.

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.

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

The NPI number assigned to this healthcare provider is 1750708236, enumerated as an "individual" on March 24, 2014.

The provider is located at 54 W 225TH ST BRONX, NY 10463 and the phone number is (718) 568-8222.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.