MRS. FARRAH FAWN POLING (ARNP) – Family Medicine Physician, NPI 1780114090

MRS. FARRAH FAWN POLING (ARNP) is a healthcare provider. based in Lehigh acres, Florida. specializing in Family Medicine Physician. They hold the professional credentials ARNP. They hold a License No. ARNP9360599 (FL). The NPI Number for MRS. FARRAH FAWN POLING (ARNP) is 1780114090

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. FARRAH FAWN POLING (ARNP)
NPI
1780114090
Phone
(239) 694-9102
Address
PO BOX 1199
Enumeration Date
19 June 2017
Last Update Date
20 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2393039298
Graduation Year
2017 (9 years ago)
PAC ID
5294088704
Group Practice PAC ID
1951472885
Professional Enrollment ID
I20181031001284
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for MRS. FARRAH FAWN POLING (ARNP)

  • PO BOX 1199

    LEHIGH ACRES, FL 339701199

    Phone: (239) 694-9102

    Fax: (239) 694-9101

    Type: Mailing

  • 6150 DIAMOND CENTRE CT UNIT 400

    FORT MYERS, FL 339124367

    Phone: (239) 561-9191

    Fax: (239) 561-9188

    Type: Location

  • 8140 COLLEGE PKWY STE 202

    FORT MYERS, FL 339195169

    Phone: (239) 645-6400

    Fax: (239) 245-7981

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $387.

Total Amount is formed as General ($387) + Research ($0) + Ownership ($0) = $387.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Merz North America, Inc. ($216).

Total Amount

$387

General + Research + Ownership

Payments

8

Total payment records

General Amount

$387

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2018-10-31

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
I20181031001284INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33970)

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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: 1951472885View full group profile
NameSpecialtyState
Family Practice, DermatologyFL
-FL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What is the standard ID for MRS. FARRAH FAWN POLING (ARNP) in the U.S.?
In the U.S., MRS. FARRAH FAWN POLING (ARNP) is identified by NPI 1780114090.
Quick check: is MRS. FARRAH FAWN POLING (ARNP) active?
Public NPPES data shows MRS. FARRAH FAWN POLING (ARNP) with an active NPI status right now.
What does the directory say MRS. FARRAH FAWN POLING (ARNP) does?
Insurance directories may phrase it differently, but here MRS. FARRAH FAWN POLING (ARNP) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. FARRAH FAWN POLING (ARNP)?
The directory associates MRS. FARRAH FAWN POLING (ARNP) with Lehigh Acres, Florida. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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