AMY E POLIAK NP
NPI 1851694285
Nurse Practitioner - Family in Appleton, WI

Q: What is Amy Poliak's NPI number?

The NPI number for Amy Poliak is 1851694285. It was assigned to this individual provider in the NPPES registry on December 7, 2010.

Q: What is Amy Poliak's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amy Poliak was last updated on January 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 07, 2010PECOS Enrolled

1506 S ONEIDA ST, APPLETON, WI 54915(920) 730-4959 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2023, May 14, 2021 (2 updates tracked since 2021).

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About Amy E Poliak Np NPPES

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

AMY E POLIAK NP (NPI 1851694285) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (4443) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851694285

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMY E POLIAKCredential: NP

Location Address1506 S ONEIDA STAppleton, WI 54915-1305

Mailing Address1506 S Oneida StAppleton, WI 54915-1305 · (920) 730-4959

Phone(920) 730-4959

Sole ProprietorNo

Enumeration DateDecember 7, 2010

Last NPPES UpdateJanuary 3, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 3, 2023

✔ NPI 1851694285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 4443

Also ListedNurse PractitionerTaxonomy 363L00000X · License 175436 (WI)

1506 S ONEIDA ST, Appleton, WI 54915

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Other Identifiers 1

Medicaid100014952WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy E Poliak Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 54915 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

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.

BRYAN A AVERY MD

Internal Medicine (Pulmonary Disease)