Individual provider Active NPI

Brianna Danae Polka, FNP

  • Family Nurse Practitioner
  • Butler, PA
National Provider Identifier
1124801667
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027814 Issued in PA
Practice address
480 E Jefferson St
Butler, PA 16001-4780
Phone
(724) 282-1530
Fax
(724) 282-1451
NPI assigned
Aug 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP027814 PA Primary

Addresses

Primary practice location

480 E Jefferson St
Butler, PA 16001-4780

Mailing address

480 E Jefferson St
Butler, PA 16001-4780
Phone (724) 282-1530

Other practice location 1

4055 Monroeville Blvd
Monroeville, PA 15146-2522
Phone (412) 666-3860

Other identifiers 1

IdentifierTypeStateIssuer
SP027814OtherPAPA NP LICENSE

Other names 1

  • Brianna Danae Polka-Goodman Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231018000227 PA Practitioner - Nurse Practitioner 2264887769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ucmg LLCGroup PAC ID 6709398969, 254 clinicians
Genesis Medical Associates, Inc.Group PAC ID 7113814104, 99 clinicians

Practice addresses (Care Compare)

1440 Morrell Ave
Connellsville, PA 15425-3809
Phone (724) 626-1347

289 McClellandtown Rd
Uniontown, PA 15401-3107
Phone (724) 439-3627

3876 Route 30
Latrobe, PA 15650-5256
Phone (724) 537-5064

4145 William Penn Hwy
Upmc Gohealth Urgent Care
Monroeville, PA 15146-2662
Phone (412) 516-9134

4655 William Flynn Hwy
Suite 110 Upmc Gohealth Urgent Care
Allison Park, PA 15101-2248
Phone (412) 486-3027

480 E Jefferson St
Butler, PA 16001-4780
Phone (724) 282-1530

5126 Route 30
Suite 300
Greensburg, PA 15601-7835
Phone (724) 836-3027

6396 Route 819 S
Upmc Gohealth Urgent Care
Mt Pleasant, PA 15666-3670
Phone (724) 547-3627

860 Rostraver Rd
Rostraver Township, PA 15012-1945
Phone (724) 929-3278

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Associates, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Genesis Medical Associates, Inc. CurrentSince Sep 11, 2023 Accepting new patients
Ucmg LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

4655 William Flynn Hwy
Ste 110
Allison Park, PA 15101
Phone (412) 486-3027

480 E Jefferson St
Butler, PA 16001
Phone (724) 282-1530

8150 Perry Hwy
Ste 201
Pittsburgh, PA 15237
Phone (412) 369-9550

3601 McKnight East Dr
Pittsburgh, PA 15237
Phone (412) 369-9943

Organizations & group practices 3

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 3

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": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1124801667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 E JEFFERSON ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014780",
            "telephone_number": "724-282-1530",
            "fax_number": "724-282-1451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 E JEFFERSON ST",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014780",
            "telephone_number": "724-282-1530",
            "fax_number": "724-282-1451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4055 Monroeville Blvd",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462522",
            "country_code": "US",
            "telephone_number": "412-666-3860",
            "fax_number": "412-666-3821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLKA",
        "first_name": "BRIANNA",
        "middle_name": "DANAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA NP LICENSE",
            "identifier": "SP027814",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIANNA",
            "last_name": "POLKA-GOODMAN",
            "middle_name": "DANAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.