MARY CATHERINE POLK (N.P.) – Nurse Practitioner, NPI 1487611646

MARY CATHERINE POLK (N.P.) is a healthcare provider. based in Tiverton, Rhode Island. specializing in NURSE PRACTITIONER. They hold the professional credentials N.P.. They hold a License No. S52455 (MA). The NPI Number for MARY CATHERINE POLK (N.P.) is 1487611646

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MARY CATHERINE POLK (N.P.)
NPI
1487611646
Phone
(508) 472-1103
Address
1698 MAIN RD
Enumeration Date
28 April 2006
Last Update Date
28 May 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083725148
Graduation Year
1993 (33 years ago)
PAC ID
7416992045
Professional Enrollment ID
I20050624000030
Address ID
MA027264204SO586XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,473 NURSE PRACTITIONER in RI

Provider Addresses for MARY CATHERINE POLK (N.P.)

  • 1698 MAIN RD

    TIVERTON, RI 02878

    Phone: (508) 472-1103

    Fax: (800) 506-1624

    Type: Location

  • 289, Pleasant Street, Fall River, Bristol County, Massachusetts, 02721, United States

    SUITE 301

    FALL RIVER, MA 027213005

    Phone: (508) 679-9955

    Type: Mailing

  • Pleasant Street, Fall River, Bristol County, Massachusetts, 02722, United States

    SUITE 301

    FALL RIVER, MA 027213005

    Phone: (508) 679-9955

    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: 2005-06-24

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
I20050624000030INurse PractitionerMATBD

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 minutes4924$0
View full utilization report →

Insurance plans in this area (ZIP 02878)

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Reviews

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Frequently asked questions

Does MARY CATHERINE POLK (N.P.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MARY CATHERINE POLK (N.P.) uses 1487611646.
Does the file indicate MARY CATHERINE POLK (N.P.) is practicing under active NPI?
Directory data currently reports MARY CATHERINE POLK (N.P.) as active.
What healthcare role does MARY CATHERINE POLK (N.P.) hold?
Scheduling teams often label MARY CATHERINE POLK (N.P.) under Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MARY CATHERINE POLK (N.P.) based?
MARY CATHERINE POLK (N.P.) is tied to Tiverton, Rhode Island in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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