MRS. POLINA VERBITSKY-HAVASOV (NP) – Family Nurse Practitioner, NPI 1053078386

MRS. POLINA VERBITSKY-HAVASOV (NP) is a healthcare provider. based in Woburn, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. F348311 (NY). The NPI Number for MRS. POLINA VERBITSKY-HAVASOV (NP) is 1053078386

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. POLINA VERBITSKY-HAVASOV (NP)
NPI
1053078386
Phone
(470) 553-3591
Address
PO BOX 83146
Enumeration Date
22 November 2021
Last Update Date
19 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2021 (5 years ago)
PAC ID
4880086131
Group Practice PAC ID
8820248016
Professional Enrollment ID
I20220118000709
Address ID
NY100165101NE169XXAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

17,004 NURSE PRACTITIONER in NY

Provider Addresses for MRS. POLINA VERBITSKY-HAVASOV (NP)

  • PO BOX 83146

    WOBURN, MA 018133146

    Phone: (470) 553-3591

    Fax: (516) 710-7846

    Type: Mailing

  • 7110 PARK AVE APT 4N

    FLUSHING, NY 113654132

    Phone: (347) 653-2146

    Type: Location

  • 1290 SILAS DEANE HWY

    HARTFORD HEALTHCARE-CVO

    WETHERSFIELD, CT 061094337

    Phone:

    Type: Mailing

  • 42 TOWN ST STE 300

    NORWICH, CT 063602339

    Phone: (860) 886-0567

    Fax: (860) 886-0656

    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: 2022-11-11

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220118000709INurse PractitionerNYTBD
I20221111000148INurse PractitionerCTTBD

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 minutes192128$0
99442Telephone medical discussion with physician, 11-20 minutes10663$0
99213Established patient office or other outpatient visit, 20-29 minutes8977$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4343$0
83036Hemoglobin a1c level4030$0
View full utilization report →

Insurance plans in this area (ZIP 01813)

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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: 8820248016View full group profile
NameSpecialtyState
Hospice/Palliative Care, Family PracticeMA
Nurse PractitionerMA
-NY
-NY
Physician AssistantMA
Nurse PractitionerNY
Nurse PractitionerNY
-NY

Reviews

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Frequently asked questions

What NPI should I save for MRS. POLINA VERBITSKY-HAVASOV (NP)?
Save NPI 1053078386 if you need a stable reference for MRS. POLINA VERBITSKY-HAVASOV (NP).
Is MRS. POLINA VERBITSKY-HAVASOV (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. POLINA VERBITSKY-HAVASOV (NP)?
The page reflects Family Nurse Practitioner for MRS. POLINA VERBITSKY-HAVASOV (NP). Clinical services aligned with this taxonomy classification.
Does MRS. POLINA VERBITSKY-HAVASOV (NP) practice in Massachusetts?
You will see Woburn, Massachusetts on file for MRS. POLINA VERBITSKY-HAVASOV (NP) alongside any extra practice locations.
How can I contact MRS. POLINA VERBITSKY-HAVASOV (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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