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JUAN POLANCO PA-C
NPI 1992117311
Physician Assistant - Medical in Fairlawn, VA

Active since May 21, 2014PECOS Enrolled
6051 BELSPRING RD, FAIRLAWN, VA 24141(540) 509-5443(855) 889-9037 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2026, Nov 9, 2020 (2 updates tracked since 2020).

About Juan Polanco Pa-c NPPES

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

JUAN POLANCO PA-C (NPI 1992117311) is an individual medical provider in Fairlawn, Virginia, licensed in Virginia (0110008672) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992117311
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJUAN POLANCOCredential: PA-C
Location Address6051 BELSPRING RDFairlawn, VA 24141-8567
Mailing Address6051 Belspring RdFairlawn, VA 24141-8567 · (540) 509-5443 · Fax (855) 889-9037
Phone(540) 509-5443
Fax(855) 889-9037
Sole ProprietorNo
Enumeration DateMay 21, 2014
Last NPPES UpdateMay 11, 20262 updates tracked since enumeration
NPPES CertifiedMay 11, 2026
✔ NPI 1992117311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in VA · 0110008672
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 0701005818 (VA)
6051 BELSPRING RD, Fairlawn, VA 24141
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Juan Polanco Pa-c 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims2,200 services$1.67 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBERT GRAHAM HOSKINS D.M.D.
Dentist (General Practice)
6051 BELSPRING RD
FAIRLAWN, VA 24141
Radford City (540) 639-6688
NEW RIVER VALLEY MEDICINE, P.C.
Internal Medicine
6051 BELSPRING RD
FAIRLAWN, VA 24141
Radford City (540) 509-5443
DR. KAYLA MICHELLE MULLINS DDS
Dentist (General Practice)
6051 BELSPRING RD
FAIRLAWN, VA 24141
Radford City (540) 639-6688
NEW RIVER VALLEY URGENT CARE LLC
Internal Medicine
6051 BELSPRING RD
FAIRLAWN, VA 24141
Radford City (540) 509-5443
MR. RICHARD DEAN CARD II D.O.
Internal Medicine
6051 BELSPRING RD
FAIRLAWN, VA 24141
Radford City (540) 509-5443
MRS. AMANDA LEIGH EDWARDS FNP
Nurse Practitioner (Family)
6051 BELSPRING RD
FAIRLAWN, VA 24141
Radford City (540) 509-5443
NATASHA DALTON FNP-C
Nurse Practitioner (Family)
6051 BELSPRING RD
FAIRLAWN, VA 24141
Radford City (540) 509-5443

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 Juan Polanco's NPI number?

The NPI number for Juan Polanco is 1992117311. It was assigned to this individual provider in the NPPES registry on May 21, 2014.

Where is Juan Polanco located?

Juan Polanco practices at 6051 Belspring Rd, Fairlawn, VA 24141. The listed phone number is (540) 509-5443.

What is Juan Polanco's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Juan Polanco enrolled in Medicare?

Yes. Juan Polanco is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juan Polanco was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.