Individual provider Active NPI

Elisa Polania, DNP, FNP-BC

  • Family Nurse Practitioner
  • Simpsonville, SC
National Provider Identifier
1174102081
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24953 Issued in SC
Practice address
698 Fairview Rd
Simpsonville, SC 29680-6708
Phone
(866) 389-2727
NPI assigned
Apr 7, 2021
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24953 SC Primary
Family Nurse Practitioner 363LF0000X 19035-33 WI
Family Nurse Practitioner 363LF0000X SP031243 PA
Family Nurse Practitioner 363LF0000X 5023967 NC
Family Nurse Practitioner 363LF0000X 18066 CT
Family Nurse Practitioner 363LF0000X APRN-NP295051 GA
Family Nurse Practitioner 363LF0000X 359563 NY
Family Nurse Practitioner 363LF0000X 0024193571 VA
Family Nurse Practitioner 363LF0000X 26NJ15594600 NJ

Addresses

Primary practice location

698 Fairview Rd
Simpsonville, SC 29680-6708

Mailing address

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616

Other practice location 1

323 Cromwell Ave
Rocky Hill, CT 06067-1801
Phone (866) 993-4321

Other practice location 2

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone (866) 389-2727

Other practice location 3

375 White Plains Rd
Eastchester, NY 10709-2826
Phone (866) 389-2727

Other practice location 4

307 Egg Harbor Rd
Sewell, NJ 08080-1850
Phone (866) 389-2727

Other practice location 5

19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727

Other practice location 6

2340 Spring Forest Rd
Raleigh, NC 27615-7528
Phone (866) 389-2727

Other practice location 7

1650 N Farwell Ave
Milwaukee, WI 53202-2331
Phone (877) 993-4321

Other practice location 8

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, NY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20210803000952 GA Practitioner - Nurse Practitioner 5597169292 Reassigns benefits to 1 organization
I20211109003371 SC Practitioner - Nurse Practitioner 5597169292 Reassigns benefits to 1 organization
I20260605002062 NY Practitioner - Nurse Practitioner 5597169292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 772
Woonsocket, RI 02895

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN-NP295051GAMDFamily Nurse Practitioner
5023967NCMDFamily Nurse Practitioner
359563NYMDFamily Nurse Practitioner
SP031243PAMDFamily Nurse Practitioner
24953SCMDFamily Nurse Practitioner
0024193571VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
HHC Augusta, Inc Past Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1174102081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 E LANCASTER AVE",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 FAIRVIEW RD",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296806708",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "323 Cromwell Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "060671801",
            "country_code": "US",
            "telephone_number": "866-993-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2782 N Cobb Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301523472",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "375 White Plains Rd",
            "address_purpose": "LOCATION",
            "city": "Eastchester",
            "state": "NY",
            "postal_code": "107092826",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 Egg Harbor Rd",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080801850",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19305 Ruby Dr",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201766508",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2340 Spring Forest Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276157528",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 N Farwell Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532022331",
            "country_code": "US",
            "telephone_number": "877-993-4321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1218 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190102616",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLANIA",
        "first_name": "ELISA",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "24953",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "19035-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031243",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023967",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "18066",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP295051",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "359563",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024193571",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15594600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpsonville, SC

Sources for this page

Verify at the official NPI Registry.