PETER JOSEPH POLLACHEK A.P.N.
NPI 1912902040
Nurse Anesthetist, Certified Registered in Watseka, IL
About Peter Joseph Pollachek A.p.n. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETER JOSEPH POLLACHEK A.P.N. (NPI 1912902040) is an individual nurse anesthetist, certified registered in Watseka, Illinois, licensed in Illinois (209-000987) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Iroquois Memorial Hospital, and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
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
Peter Joseph Pollachek A.p.n. 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 Reassignments
3Medicare enrollment records show Peter Pollachek reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint John, IN 46373
- Reassigned Medicare billing, Indiana and Illinois enrollments
- Also billed through NPI 1992754089 (Illinois)
- 97 clinicians in this Medicare group
Crown Point, IN 46307
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Advance Pain & Anesthesia Consultants, PC
- 24 clinicians in this Medicare group
Crown Point, IN 46307
- Reassigned Medicare billing, Illinois and Indiana enrollments
- 15 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.
Areas of Expertise CMS Part B claims
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Iroquois Memorial Hospital
Critical Access Hospitals · Watseka, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60970 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Peter Pollachek's NPI number?
The NPI number for Peter Pollachek is 1912902040. It was assigned to this individual provider in the NPPES registry on June 16, 2005.
Where is Peter Pollachek located?
Peter Pollachek practices at 200 East Fairman Ave Second Floor - Specialty Clinic, Watseka, IL 60970. The listed phone number is (708) 522-9793.
What is Peter Pollachek's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Peter Pollachek enrolled in Medicare?
Yes. Peter Pollachek 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 organizations bill Medicare for Peter Pollachek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Peter Pollachek reassigns Medicare benefits to 3 organizations: Stat Anesthesia Specialists Ltd (Saint John, IN), Advanced Pain & Anesthesia Consultants, PC (Crown Point, IN) and Vigilance Anesthesiologists & Pain Specialists PC (Crown Point, IN). Each 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 Peter Pollachek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Peter Pollachek affiliated with any hospitals?
According to CMS data, Peter Pollachek is affiliated with Iroquois Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Peter Pollachek was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Peter Joseph Pollachek, A.P.N. · NPI 1912902040
Nurse Anesthetist, Certified Registered physician in Watseka, Illinois. Individual provider, active in the CMS NPPES registry since June 16, 2005.
## Identity
- **NPI:** 1912902040 (Entity type: Individual)
- **Enumerated:** June 16, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209-000987 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 EAST FAIRMAN AVE, SECOND FLOOR - SPECIALTY CLINIC, Watseka, IL 60970
- **Phone:** (708) 522-9793 · **Fax:** (855) 339-3205
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Stat Anesthesia Specialists Ltd (NPI 1699724781, Saint John, IN); Advanced Pain & Anesthesia Consultants, PC (NPI 1457387078, Crown Point, IN); Vigilance Anesthesiologists & Pain Specialists PC (NPI 1013475375, Crown Point, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** December 27, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1912902040) · Data from the CMS NPPES public registry.