Individual provider Active NPI

Maureen Stanek Polakowski, CRNP, DNP

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1023011210
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1116044 Issued in TX
Practice address
4835 LBJ Fwy Ste 900
Dallas, TX 75244-6001
Phone
(844) 941-3087
NPI assigned
May 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X VP004369B PA
Family Nurse Practitioner 363LF0000X VP004369B PA
Nurse Practitioner 363L00000X 1116044 TX Primary

Addresses

Primary practice location

4835 LBJ Fwy Ste 900
Dallas, TX 75244-6001

Mailing address

1517 Hearthstone Dr
Plano, TX 75023-7408
Phone (570) 854-5102

Other practice location 1

900 Westpark Way
Euless, TX 76040-3977
Phone (844) 941-3087

Other practice location 2

3020 Ridge Rd
Rockwall, TX 75032-5805
Phone (884) 494-3087

Other practice location 3

8703 Davis Blvd
Keller, TX 76248-0309
Phone (844) 941-3087

Other names 1

  • Maureen Ann Stanek Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050524000869 PA Practitioner - Nurse Practitioner 2860397296 Reassigns benefits to 2 organizations
I20240214003429 TX Practitioner - Nurse Practitioner 2860397296 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Health Post Acute PLLCGroup PAC ID 0648750679, 55 clinicians
Meridian Health Partners PLLCGroup PAC ID 5597170878, 66 clinicians

Practice addresses (Care Compare)

950 W Bethany Dr
Suite 570
Allen, TX 75013-3845
Phone (844) 941-3087

Hospital & facility affiliations

  • Nexus Home Healthcare Inc Home health agency, Frisco, TX, CCN 457921
  • Arcy Home Health Home health agency, Flower Mound, TX, CCN 457809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
VP004369BPAMDNurse Practitioner
1116044TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Post Acute PLLC Nurse Practitioner CurrentSince Dec 21, 2025 Accepting new patients
Geisinger Clinic CurrentSince Oct 31, 2022 Accepting new patients
Geisinger Clinic Nurse Practitioner Current Accepting new patients
Susquehanna Valley Home Health Care CurrentSince Jun 1, 2004 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 9, 2023 Accepting new patients
Meridian Health Partners PLLC CurrentSince Dec 26, 2023 Accepting new patients
Geisinger Clinic Nurse Practitioner CurrentSince Oct 31, 2022 Accepting new patients
James Baldys Past Accepting new patients

Locations

240 Mall Blvd
Bloomsburg, PA 17815
Phone (570) 416-5435

100 N Academy Ave
Danville, PA 17822

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

950 W Bethany Dr
Ste 570
Allen, TX 75013
Phone (402) 651-5338

405 Duncan Perry Rd
Arlington, TX 76011
Phone (817) 649-3366

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

9715 Plano Rd
Dallas, TX 75238
Phone (214) 343-7445

4835 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75244
Phone (469) 340-1366

900 Westpark Way
Euless, TX 76040
Phone (817) 545-4071

8703 Davis Blvd
Keller, TX 76248
Phone (817) 577-9999

3100 S Rigsbee Dr
Plano, TX 75074
Phone (972) 423-6217

3020 Ridge Rd
Rockwall, TX 75032
Phone (972) 769-5948

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1023011210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 HEARTHSTONE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750237408",
            "telephone_number": "570-854-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 LBJ FWY STE 900",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752446001",
            "telephone_number": "844-941-3087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Westpark Way",
            "address_purpose": "LOCATION",
            "city": "Euless",
            "state": "TX",
            "postal_code": "760403977",
            "country_code": "US",
            "telephone_number": "844-941-3087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3020 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Rockwall",
            "state": "TX",
            "postal_code": "750325805",
            "country_code": "US",
            "telephone_number": "884-494-3087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8703 Davis Blvd",
            "address_purpose": "LOCATION",
            "city": "Keller",
            "state": "TX",
            "postal_code": "762480309",
            "country_code": "US",
            "telephone_number": "844-941-3087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLAKOWSKI",
        "first_name": "MAUREEN",
        "middle_name": "STANEK",
        "credential": "CRNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP004369B",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "VP004369B",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1116044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAUREEN",
            "last_name": "STANEK",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.