MAUREEN STANEK POLAKOWSKI (CRNP, DNP) – Nurse Practitioner, NPI 1023011210
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
11,556 NURSE PRACTITIONER in PA
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Provider Addresses for MAUREEN STANEK POLAKOWSKI (CRNP, DNP)
7 DOCK HILL RD
MIDDLEBURG, PA 178428910
Phone: (570) 837-2123
Fax: (570) 837-2185
Type: Mailing
Hastings Street, South Williamsport, Lycoming County, Pennsylvania, 17701, United States of America
S WILLIAMSPORT, PA 177027606
Phone: (570) 327-1335
Fax: (570) 321-7800
Type: Location
8703 Davis Blvd
Keller, TX 762480309
Phone: (844) 941-3087
Type: Location
3020 Ridge Rd
Rockwall, TX 750325805
Phone: (884) 494-3087
Type: Location
900 Westpark Way
Euless, TX 760403977
Phone: (844) 941-3087
Type: Location
145 SHAFFER ST
WILLIAMSPORT, PA 177026727
Phone: (570) 327-1335
Fax: (570) 321-7800
Type: Location
1517 HEARTHSTONE DR
PLANO, TX 750237408
Phone: (570) 854-5102
Type: Mailing
4835 LBJ FWY STE 900
DALLAS, TX 752446001
Phone: (844) 941-3087
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $25.
Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.
Last reported payment date: 2023-07-18 • Largest payer in this snapshot: ABBVIE INC. ($25).
Total Amount
$25
General + Research + Ownership
Payments
1
Total payment records
General Amount
$25
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-07-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $25 |
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: 2024-02-14
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20050524000869 | I | Nurse Practitioner | PA | TBD |
| I20240214003429 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 136 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 113 | 106 | $0 |
| G0008 | Administration of influenza virus vaccine | 46 | 46 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 40 | 40 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 20 | 19 | $0 |
Insurance plans in this area (ZIP 17842)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | PA | 81002 | Urinalysis, manual test | 18 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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