MS. MANDY POLLACK (APRN) – Psychiatric/Mental Health Registered Nurse, NPI 1255575643
Psychiatric/Mental Health Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
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Provider Addresses for MS. MANDY POLLACK (APRN)
1120, North Betty Lane, Clearwater, Pinellas County, Florida, 33755, United States
CLEARWATER, FL 337553303
Phone: (813) 951-0648
Type: Location
1340 S LAUREL RD
LONDON, KY 407448304
Phone: (855) 591-0092
Type: Location
136 DAVIS LN
LA FOLLETTE, TN 377663118
Phone: (423) 562-0760
Type: Location
1120 E 7th Ave
Mitchell, SD 573012908
Phone: (605) 996-6526
Type: Location
Fellowship Louisville, 11001, Bluegrass Parkway, Jeffersontown, Jefferson County, Kentucky, 40299, United States
LOUISVILLE, KY 402992361
Phone: (502) 568-7364
Fax: (502) 568-7136
Type: Mailing
8913 TOWN AND COUNTRY CIR # 1066
KNOXVILLE, TN 379234931
Phone:
Type: Mailing
5201 GREAT AMERICA PKWY STE 320
SANTA CLARA, CA 950541140
Phone: (323) 205-7088
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $33.
Total Amount is formed as General ($33) + Research ($0) + Ownership ($0) = $33.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Boston Scientific Corporation ($33).
Total Amount
$33
General + Research + Ownership
Payments
1
Total payment records
General Amount
$33
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $33 |
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: 2025-10-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100219000529 | I | Nurse Practitioner | FL | TBD |
| I20190110001247 | I | Nurse Practitioner | TN | TBD |
| I20250625000268 | I | Nurse Practitioner | IA | TBD |
| I20251030004184 | I | Nurse Practitioner | VA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 516 | 191 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 283 | 128 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 129 | 79 | $0 |
Insurance plans in this area (ZIP 33755)
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