ROBERT DONALD POLLEY JR. CRNA
NPI 1861519340
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Q: What is Robert Polley's NPI number?

The NPI number for Robert Polley is 1861519340. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Q: What is Robert Polley's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Polley was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 22, 2007Accepts Medicare Assignment

ENVISION PHYSCIANS SERVICES, 1301 RIVERSIDE BLVD, SUITE 2540, JACKSONVILLE, FL 32207(904) 603-0848 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Robert Donald Polley Jr. Crna NPPES

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

ROBERT DONALD POLLEY JR. CRNA (NPI 1861519340) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (APRN9439834) and active in the NPI registry since March 2007. He is affiliated with Ascension St Vincent's Riverside, maintains a secondary practice location in Camp Pendleton, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1861519340

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameROBERT DONALD POLLEY JR.Credential: CRNA

Location AddressENVISION PHYSCIANS SERVICES, 1301 RIVERSIDE BLVD, SUITE 2540Jacksonville, FL 32207

Mailing Address948 Staveley Dr WJacksonville, FL 32225-5259 · (951) 816-0982

Phone(904) 603-0848

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateMarch 22, 2007

Last NPPES UpdateSeptember 23, 2024

NPPES CertifiedSeptember 17, 2024

✔ NPI 1861519340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in FL · APRN9439834✔ Licensed in CA · 582041

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

ENVISION PHYSCIANS SERVICES, Jacksonville, FL 32207

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Secondary Practice Location 1

Location 1Naval Hospital Camp Pendleton, H100 Santa Margarita Road Attention Code 094Camp Pendleton, CA 92055-5191 · Phone (760) 725-8578

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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

Robert Donald Polley Jr. Crna 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 ID3375584832

PECOS Enrollment IDI20200207001862

Medicare Billing Reassignment

Medicare enrollment records show Robert Polley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Florida Anesthesia Consultants Inc

3.3 mi

Anesthesiology

4035 SOUTHPOINT BLVD
Jacksonville, FL 32216

Reassigned Medicare billing, Florida enrollment
177 clinicians in this Medicare group

NPI 1447822739 (877) 328-1119

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

31 services31 patients

Anesthesia for other procedure on lower leg, ankle, and foot bones 01480

Anesthesia for procedures on lower leg, ankle, and foot bones involves administering medication to block pain and sensation in these areas. This allows doctors to perform necessary treatments or surgeries without causing discomfort. The type of anesthesia used can vary based on the specific procedure.

15 services15 patients

Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810

Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.

14 services14 patients

Anesthesia for total hip replacement 01214

Anesthesia for total hip replacement is a medical service where medication is given to eliminate pain during surgery. Two types are commonly used: general anesthesia, making you unconscious, or spinal anesthesia, numbing the lower body. The choice depends on your health and your doctor's recommendation.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Robert Polley's NPI number?

The NPI number for Robert Polley is 1861519340. It was assigned to this individual provider in the NPPES registry on March 22, 2007.

Where is Robert Polley located?

Robert Polley practices at Envision Physcians Services 1301 Riverside Blvd, Suite 2540, Jacksonville, FL 32207. The listed phone number is (904) 603-0848.

What is Robert Polley's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Robert Polley enrolled in Medicare?

Yes. Robert Polley 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 Robert Polley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Polley reassigns Medicare benefits to North Florida Anesthesia Consultants Inc (Jacksonville, FL). 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 Robert Polley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Polley accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Robert Polley 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 Robert Polley affiliated with any hospitals?

According to CMS data, Robert Polley is affiliated with Ascension St Vincent's Riverside.

When was this NPI record last updated?

The NPPES record for Robert Polley was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.