EMILY M POLUS (MSN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1083120091
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
14,989 NURSE PRACTITIONER in OH
Provider Addresses for EMILY M POLUS (MSN)
4747 MONROE ST
TOLEDO, OH 436234307
Phone: (419) 740-5709
Type: Mailing
6629 W Central Ave
Toledo, OH 436171098
Phone: (419) 740-5709
Type: Location
4747 Monroe St
Toledo, OH 436234307
Phone: (419) 721-1381
Type: Location
3222, West Central Avenue, Westgate, Toledo, Lucas County, Ohio, 43606, United States
TOLEDO, OH 436062929
Phone: (567) 316-7253
Type: Mailing
142 E MAUMEE ST
ADRIAN, MI 492212735
Phone: (517) 263-5810
Type: Location
6629 W CENTRAL AVE
TOLEDO, OH 436171098
Phone: (419) 740-5709
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $507.
Total Amount is formed as General ($507) + Research ($0) + Ownership ($0) = $507.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: ABBVIE INC. ($191).
Total Amount
$507
General + Research + Ownership
Payments
26
Total payment records
General Amount
$507
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: 2025-08-05
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 |
|---|---|---|---|---|
| I20250501001162 | I | Nurse Practitioner | MI | TBD |
| I20250805003289 | I | Nurse Practitioner | OH | 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 43623)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | MI | |
| Mental Health Counselor | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physician Assistant | MI | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | MI |
Reviews
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