SALLY CECILE POLLOCK (FNP) – Nurse Practitioner, NPI 1073863684

SALLY CECILE POLLOCK (FNP) is a healthcare provider. based in Eau claire, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. R1668894 (MN). The NPI Number for SALLY CECILE POLLOCK (FNP) is 1073863684

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
SALLY CECILE POLLOCK (FNP)
NPI
1073863684
Phone
Not provided
Address
PO BOX 1510
Enumeration Date
12 September 2012
Last Update Date
12 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6083925000
Graduation Year
2012 (14 years ago)
PAC ID
5890947238
Group Practice PAC ID
0345152443
Professional Enrollment ID
I20170713002728
Address ID
WI546508679ON191XXRDXX300
Telehealth
Yes

Contacts

Secure Messaging
spollock33545@ehrdirect.mayoclinicmsg.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:13State licenses:4Other namesUpdated within 12 months

5,748 NURSE PRACTITIONER in MN

Provider Addresses for SALLY CECILE POLLOCK (FNP)

  • PO BOX 1510

    EAU CLAIRE, WI 547021510

    Phone:

    Type: Mailing

  • 200 1ST ST SW

    ROCHESTER, MN 559050001

    Phone: (608) 785-0940

    Type: Mailing

  • 420 E Sarnia St

    Winona, MN 559876365

    Phone: (507) 474-7830

    Type: Location

  • 191 THEATER RD

    ONALASKA, WI 54650

    Phone: (608) 785-0940

    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: 2017-07-13

PECOS data refreshed: 2026-06-15

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
I20170713002728INurse PractitionerWITBD

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 minutes318194$0
99213Established patient office or other outpatient visit, 20-29 minutes6859$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4242$0
View full utilization report →

Insurance plans in this area (ZIP 54702)

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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: 0345152443View full group profile
NameSpecialtyState
-WI
P S Y C H I A T R YWI
Nurse PractitionerWI
Family PracticeWI
Family PracticeWI
Interventional Cardiology, Cardiovascular Disease (Cardiology), Emergency MedicineMN
-WI
-MN
-MN
Physician AssistantMN

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Frequently asked questions

Is SALLY CECILE POLLOCK (FNP) listed with a National Provider Identifier?
Yes — SALLY CECILE POLLOCK (FNP) has NPI 1073863684 on file in the registry.
Is SALLY CECILE POLLOCK (FNP) shown as active in public data?
Registry records indicate SALLY CECILE POLLOCK (FNP) maintains an active NPI.
What clinical focus is listed for SALLY CECILE POLLOCK (FNP)?
At a glance, SALLY CECILE POLLOCK (FNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SALLY CECILE POLLOCK (FNP) located near Eau Claire?
SALLY CECILE POLLOCK (FNP) currently maps to Eau Claire, Wisconsin in this extract.
When was this NPI issued?
Enumeration for SALLY CECILE POLLOCK (FNP) is noted as September 12, 2012 where the registry provides it.