EMILY GRACE POLHAMUS (APRN) – Nurse Practitioner, NPI 1265184642
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for EMILY GRACE POLHAMUS (APRN)
1603 LAKE CLAY DR
LAKE PLACID, FL 338526992
Phone:
Type: Mailing
1421 US HIGHWAY 98
LAKELAND, FL 338016574
Phone: (813) 361-0070
Type: Location
PO BOX 640
ROANOKE RAPIDS, NC 278700640
Phone: (252) 536-5844
Fax: (252) 519-0154
Type: Mailing
919 JR HIGH SCHOOL RD
SCOTLAND NECK, NC 278741219
Phone: (252) 826-3143
Fax: (252) 826-3110
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $339.
Total Amount is formed as General ($339) + Research ($0) + Ownership ($0) = $339.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Lilly USA, LLC ($96).
Total Amount
$339
General + Research + Ownership
Payments
20
Total payment records
General Amount
$339
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20220427000715 | I | Nurse Practitioner | FL | TBD |
| I20250128003367 | I | Nurse Practitioner | NC | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33852)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | NC | |
| - | NC | |
| Family Practice | NC | |
| - | NC | |
| Clinical Social Worker | NC | |
| Clinical Social Worker | NC | |
| Family Practice, Psychiatry | FL | |
| - | NC | |
| Physician Assistant | NC | |
| Nurse Practitioner | NC |
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