MACKENZIE ALYSE POLOCHAK MSN, APRN, FNP-C
NPI 1861375008
Nurse Practitioner in Morristown, TN
About Mackenzie Alyse Polochak Msn, Aprn, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MACKENZIE ALYSE POLOCHAK MSN, APRN, FNP-C (NPI 1861375008) is an individual nurse practitioner in Morristown, Tennessee, licensed in Tennessee (39071) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mackenzie Alyse Polochak Msn, Aprn, Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Mackenzie Polochak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Morristown, TN 37813
- Reassigned Medicare billing, Tennessee enrollment
- 2 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morristown Hamblen Hospital Association
Acute Care Hospitals · Morristown, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37814 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MORRISTOWN, TN 37814
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 Mackenzie Polochak's NPI number?
The NPI number for Mackenzie Polochak is 1861375008. It was assigned to this individual provider in the NPPES registry on July 28, 2025.
Where is Mackenzie Polochak located?
Mackenzie Polochak practices at 1530 W Andrew Johnson Hwy, Morristown, TN 37814. The listed phone number is (423) 507-8951.
What is Mackenzie Polochak's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Mackenzie Polochak enrolled in Medicare?
Yes. Mackenzie Polochak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mackenzie Polochak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mackenzie Polochak reassigns Medicare benefits to Kidney Center PLLC (Morristown, TN). 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 Mackenzie Polochak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mackenzie Polochak accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Mackenzie Polochak 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.
Is Mackenzie Polochak affiliated with any hospitals?
According to CMS data, Mackenzie Polochak is affiliated with Morristown Hamblen Hospital Association.
When was this NPI record last updated?
The NPPES record for Mackenzie Polochak was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Mackenzie Alyse Polochak, MSN, APRN, FNP-C · NPI 1861375008
Nurse Practitioner physician in Morristown, Tennessee. Individual provider, active in the CMS NPPES registry since July 28, 2025.
## Identity
- **NPI:** 1861375008 (Entity type: Individual)
- **Enumerated:** July 28, 2025
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 39071 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1530 W ANDREW JOHNSON HWY, Morristown, TN 37814-3733
- **Phone:** (423) 507-8951
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kidney Center PLLC (NPI 1699934711, Morristown, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** July 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861375008) · Data from the CMS NPPES public registry.