Nancy I Polashuk, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA059135 Issued in PA

Practice address

220 W Jackson St
Spring Grove, PA 17362-1114

Phone

(717) 703-0990

Fax

(877) 409-3567

NPI assigned

Jul 7, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nancy.polashuk.1@14940.direct.athenahealth.com

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.

• Everside Health LLC-Rocket Wellness Center

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Spring Grove, PA
  • NPI 1235853839
  NPD

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1114449451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 ROSEPOINTE WAY",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173628947",
            "telephone_number": "717-683-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W JACKSON ST",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621114",
            "telephone_number": "717-703-0990",
            "fax_number": "877-409-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLASHUK",
        "first_name": "NANCY",
        "middle_name": "I",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004189",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen M Markle, LPTA
• Tammy L McBride, D.O.
• Cassandra McLucas
• Pinnacle Health Medical Services
• Pinnacle Health Medical Services
• Michele Prince, MSW
• Tracy Prince, D.O.
• Reigart-Kistler DDS, Inc.
• Brian L Reigart, D.D.S.
• Rite Aid of Pennsylvania LLC

• Physician Assistant in Spring Grove, PA
• Providers in Spring Grove, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.