POLIANA DESARDEN – Family Nurse Practitioner, NPI 1114695418

POLIANA DESARDEN is a healthcare provider. based in Plant city, Florida. specializing in NURSE PRACTITIONER. They hold a License No. 11014816 (FL). The NPI Number for POLIANA DESARDEN is 1114695418

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
POLIANA DESARDEN
NPI
1114695418
Phone
(813) 567-5679
Address
1703 THONOTOSASSA RD
Enumeration Date
1 September 2021
Last Update Date
15 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
5092193383
Group Practice PAC ID
5092888503
Professional Enrollment ID
I20220526002441
Address ID
FL335634202Pl1703XAXXX406
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for POLIANA DESARDEN

  • 1703 THONOTOSASSA RD

    PLANT CITY, FL 335634202

    Phone: (813) 567-5679

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 246 Open Payments records for all available years, with a total value of $4,161.

Total Amount is formed as General ($4,161) + Research ($0) + Ownership ($0) = $4,161.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($545).

Total Amount

$4,161

General + Research + Ownership

Payments

246

Total payment records

General Amount

$4,161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-05-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220526002441INurse PractitionerFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes28871$0
81002Urinalysis, manual test2916$0
96127Assessment of emotional or behavioral problems2619$0
G0444Annual depression screening, 5 to 15 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 33563)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092888503View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Does POLIANA DESARDEN share an NPI with anyone else?
NPI numbers are unique to each provider or organization — POLIANA DESARDEN uses 1114695418.
Can I rely on POLIANA DESARDEN being an active provider?
As of the registry snapshot, POLIANA DESARDEN is marked active.
What healthcare role does POLIANA DESARDEN hold?
Scheduling teams often label POLIANA DESARDEN under Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect POLIANA DESARDEN on a map?
Expect Plant City, Florida as a primary anchor for POLIANA DESARDEN unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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