Individual provider Active NPI

Polly Ann Scholze, FNP

  • Nurse Practitioner
  • Bartlett, TN
National Provider Identifier
1134362452
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
14073 Issued in TN
Practice address
7424 US Highway 64 Ste 111
Bartlett, TN 38133-8937
Phone
(901) 372-3573
Fax
(901) 383-2150
NPI assigned
Apr 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 14073 TN Primary

Addresses

Primary practice location

7424 US Highway 64 Ste 111
Bartlett, TN 38133-8937

Mailing address

965 Ridge Lake Blvd
Suite 103
Memphis, TN 38120-9401
Phone (901) 227-3255

Other practice location 1

670 N Germantown Pkwy Ste 18
Cordova, TN 38018-6287
Phone (901) 753-7686

Other practice location 2

3295 Poplar Ave Ste 105
Memphis, TN 38111-4690
Phone (901) 327-8188

Other identifiers 2

IdentifierTypeStateIssuer
Q012564MedicaidTN
00722363MedicaidMS

Other names 1

  • Pollyann Scholze Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20090723000303 TN Practitioner - Nurse Practitioner 1254483183 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14073TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Heatlhcare Community Care Associates CurrentSince Oct 31, 2016 Accepting new patients
Methodist Healthcare Community Care Associates Current Accepting new patients
Methodist Healthcare Community Care Associates CurrentSince Oct 31, 2016 Accepting new patients
Adult Primary Care of Memphis PC Past Accepting new patients
Bell Internal Medicine PC Past Accepting new patients

Locations

8035 Club Pkwy
Cordova, TN 38016
Phone (901) 758-6035

8071 Winchester Rd
Memphis, TN 38125
Phone (901) 367-9001

1211 Union Ave
Ste 330
Memphis, TN 38104
Phone (901) 478-0954

Interoperability endpoints

  • Direct secure messaging: pscholze31854@mlh.direct-ci.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134362452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD",
            "address_2": "SUITE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209401",
            "telephone_number": "901-227-3255",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7424 US HIGHWAY 64 STE 111",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338937",
            "telephone_number": "901-372-3573",
            "fax_number": "901-383-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 N Germantown Pkwy Ste 18",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380186287",
            "country_code": "US",
            "telephone_number": "901-753-7686",
            "fax_number": "901-759-9968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3295 Poplar Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381114690",
            "country_code": "US",
            "telephone_number": "901-327-8188",
            "fax_number": "901-327-8284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHOLZE",
        "first_name": "POLLY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "14073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012564",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00722363",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "POLLYANN",
            "last_name": "SCHOLZE",
            "credential": "FNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

Verify at the official NPI Registry.