Active NPI
Kerri Pollack, PA
- Physician Assistant
- Fort Myers, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9114481
- Practice address
- 8931 Colonial Center Dr Ste 400
Fort Myers, FL 33905-7809 - Phone
- (239) 334-6626
- Fax
- (239) 334-0404
- NPI assigned
- Jul 6, 2006
- Last updated
- Feb 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9114481 | FL | Primary |
Addresses
Primary practice location
8931 Colonial Center Dr Ste 400
Fort Myers, FL 33905-7809
Mailing address
4130 1St Ave SW
Naples, FL 34119-2641
Phone (516) 263-4485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 552-7000
350 7TH St N
Naples, FL 34102-5754
680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.8 of 100
- Quality
- 91.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9114481 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nchmd, Inc | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Current | Accepting new patients | |
| 21St Century Oncology LLC | Current | Accepting new patients | |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Genesiscare USA of Florida LLC | Past | Accepting new patients | |
| Nchmd Inc | Past | Accepting new patients |
Locations
8925 Colonial Center Dr
Ste 1001
Fort Myers, FL 33905
Phone (239) 343-5864
8931 Colonial Center Dr
Ste 400
Fort Myers, FL 33905
Phone (239) 319-3714
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900
120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525
259 1st St
Mineola, NY 11501
Phone (516) 576-1820
1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- kpollack113771@nchhealthcaresystem.direct-ci.com
- kpollack283378@nyumc.direct-ci.com
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
dba NYU Faculty Group Practice
- Cardiovascular Disease Physician
- Boynton Beach, FL
- NPI 1285826438
NY
-
- Radiation Oncology Physician
- Fort Myers, FL
- NPI 1134109747
-
dba David Schwartzwald, MD: Urology Care Specialists
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
-
- Long Term Care Hospital
- Lehigh Acres, FL
- NPI 1932595659
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
-
dba NYU Langone Ambulatory Care Chelsea
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba NCH Healthcare System Inc
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1164454963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4130 1ST AVE SW",
"city": "NAPLES",
"state": "FL",
"postal_code": "341192641",
"telephone_number": "516-263-4485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8931 COLONIAL CENTER DR STE 400",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339057809",
"telephone_number": "239-334-6626",
"fax_number": "239-334-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLACK",
"first_name": "KERRI",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9114481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.