VINCENT F POLVINALE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154376341

VINCENT F POLVINALE (CRNA) is a healthcare provider. based in Marietta, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN096241 (GA). The NPI Number for VINCENT F POLVINALE (CRNA) is 1154376341

Main info

Male
Sole Proprietor
38 Years Of Experience
Accepts Medicare Assignment
Name
VINCENT F POLVINALE (CRNA)
NPI
1154376341
Phone
(770) 578-1800
Address
PO BOX 70128
Enumeration Date
24 May 2006
Last Update Date
4 January 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9413655355
Graduation Year
1988 (38 years ago)
PAC ID
7113924861
Group Practice PAC ID
6103205620
Professional Enrollment ID
I20210625000123
Address ID
FL342322401SA983XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

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Provider Addresses for VINCENT F POLVINALE (CRNA)

  • PO BOX 70128

    MARIETTA, GA 300070128

    Phone: (770) 578-1800

    Fax: (770) 578-6168

    Type: Mailing

  • 4575, North Shallowford Road, Dunwoody, DeKalb County, Georgia, 30338, United States

    DUNWOODY, GA 30338

    Phone: (770) 454-4286

    Fax: (770) 454-4065

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-06-25

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
I20210625000123ICertified Registered Nurse Anesthetist (Crna)FLTBD

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
00142Anesthesia for lens surgery131116$0
01992Anesthesia for nerve block and injection procedure, prone position5348$0
01940Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance2423$0
76942Ultrasonic guidance for needle placement1616$0
View full utilization report →

Insurance plans in this area (ZIP 30007)

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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: 6103205620View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YOH
Interventional Pain Management, AnesthesiologyGA
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YMD
Anesthesiology AssistantFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)OH
A N E S T H E S I O L O G YFL

Reviews

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Frequently asked questions

Can I use this page to confirm VINCENT F POLVINALE (CRNA)'s NPI?
Yes. VINCENT F POLVINALE (CRNA) is listed with NPI 1154376341 in the public NPI dataset.
Is VINCENT F POLVINALE (CRNA) listed as active for patients and plans?
The listing shows VINCENT F POLVINALE (CRNA) as active in the NPI system.
What is VINCENT F POLVINALE (CRNA) best known for clinically?
Directory data describes VINCENT F POLVINALE (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is VINCENT F POLVINALE (CRNA) based?
VINCENT F POLVINALE (CRNA) is tied to Marietta, Georgia in the data we show; additional addresses may exist on the full record.
Why does VINCENT F POLVINALE (CRNA) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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