NANCY I POLASHUK (PA-C) – Physician Assistant, NPI 1114449451

NANCY I POLASHUK (PA-C) is a healthcare provider. based in Spring grove, Pennsylvania. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. OA004189 (PA). The NPI Number for NANCY I POLASHUK (PA-C) is 1114449451

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
NANCY I POLASHUK (PA-C)
NPI
1114449451
Phone
(717) 703-0990
Address
220 W JACKSON ST
Enumeration Date
7 July 2017
Last Update Date
20 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7177921811
Graduation Year
2017 (9 years ago)
PAC ID
1850657032
Group Practice PAC ID
3577532423
Professional Enrollment ID
I20171103000077
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:8State licenses:2Digital endpointsOther names

Provider Addresses for NANCY I POLASHUK (PA-C)

  • 220 W JACKSON ST

    SPRING GROVE, PA 173621114

    Phone: (717) 703-0990

    Fax: (877) 409-3567

    Type: Location

  • Cedar Drive, Winter Park, Grand County, Colorado, 80482, United States

    SPRING GROVE, PA 173627715

    Phone: 1 (717) 683-5579

    Type: Mailing

  • 54, Forrest Street, Brooklyn, Kings County, New York, 11206, United States

    YORK, PA 174045550

    Phone: (717) 792-1811

    Type: Location

  • 1916 ROSEPOINTE WAY

    SPRING GROVE, PA 173628947

    Phone: (717) 683-5579

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 128 Open Payments records for all available years, with a total value of $1,856.

Total Amount is formed as General ($1,856) + Research ($0) + Ownership ($0) = $1,856.

Last reported payment date: 2024-10-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($316).

Total Amount

$1,856

General + Research + Ownership

Payments

128

Total payment records

General Amount

$1,856

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-07

Latest reported date

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: 2017-11-03

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
I20171103000077IPhysician AssistantPATBD

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 minutes178102$0
99213Established patient office or other outpatient visit, 20-29 minutes154100$0
81002Urinalysis, manual test1513$0
View full utilization report →

Insurance plans in this area (ZIP 17362)

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Reviews

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Frequently asked questions

How do payers reference NANCY I POLASHUK (PA-C)?
For NANCY I POLASHUK (PA-C), use NPI 1114449451 as the unique 10-digit identifier.
Active or inactive — what applies to NANCY I POLASHUK (PA-C)?
You should see NANCY I POLASHUK (PA-C) as active in CMS-hosted NPPES data.
What kind of doctor is NANCY I POLASHUK (PA-C)?
NANCY I POLASHUK (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for NANCY I POLASHUK (PA-C)?
Travel planning: use Spring Grove, Pennsylvania as the reference point for NANCY I POLASHUK (PA-C), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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