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

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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.