AMY E POLIAK NP
NPI 1851694285
Nurse Practitioner - Family in Appleton, WI
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
Specialties & Licenses 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy E Poliak Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Poliak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Neenah, WI 54956
- Reassigned Medicare billing, Wisconsin enrollment
- 444 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 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.
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.
APPLETON, WI 54915
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 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.
Where is Amy Poliak located?
Amy Poliak practices at 1506 S Oneida St, Appleton, WI 54915. The listed phone number is (920) 730-4959.
What is Amy Poliak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amy Poliak enrolled in Medicare?
Yes. Amy Poliak is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Poliak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Poliak reassigns Medicare benefits to Ascension Medical Group-Fox Valley Wisconsin, Inc (Neenah, WI). The 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 Amy Poliak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Poliak accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Network Health list Amy Poliak as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Amy Poliak was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Amy E Poliak, NP · NPI 1851694285
Family physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since December 7, 2010.
## Identity
- **NPI:** 1851694285 (Entity type: Individual)
- **Enumerated:** December 7, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4443 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1506 S ONEIDA ST, Appleton, WI 54915-1305
- **Phone:** (920) 730-4959
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ascension Medical Group-Fox Valley Wisconsin, Inc (NPI 1730126392, Neenah, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2023
- **Other identifiers:** Medicaid 100014952 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1851694285) · Data from the CMS NPPES public registry.