MICHAEL J POLAN PMHNP
NPI 1821773573
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Q: What is Michael Polan's NPI number?

The NPI number for Michael Polan is 1821773573. It was assigned to this individual provider in the NPPES registry on June 20, 2023.

Q: What is Michael Polan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Michael Polan was last updated on December 18, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 20, 2023PECOS EnrolledAccepts Medicare Assignment

15 2ND AVE FL 3, BROOKLYN, NY 11215(718) 514-6007 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 25, 2023, Jun 20, 2023 (2 updates tracked since 2023).

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About Michael J Polan Pmhnp NPPES

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

MICHAEL J POLAN PMHNP (NPI 1821773573) is an individual psychiatric/mental health provider in Brooklyn, New York, licensed in New York (405258) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1821773573

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMICHAEL J POLANCredential: PMHNP

Location Address15 2ND AVE FL 3Brooklyn, NY 11215-2711

Mailing Address30 E 95th StNew York, NY 10128-0718 · (914) 584-8182

Phone(718) 514-6007

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 20, 2023

Last NPPES UpdateDecember 18, 20232 updates tracked since enumeration

NPPES CertifiedDecember 18, 2023

✔ NPI 1821773573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in NY · 405258

Also ListedRegistered Nurse · Ambulatory CareTaxonomy 163WP2201X · License 712808 (NY)

15 2ND AVE FL 3, Brooklyn, NY 11215

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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 and accepts Medicare assignment

Michael J Polan Pmhnp 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 ID9638619430

PECOS Enrollment IDI20240907000095

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 11215 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.

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.

MIRAY MAGED YOUSEF