Denine Lynn Polen, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

335170 Issued in NY

Practice address

PO Box 285
Fleischmanns, NY 12430-0285

Phone

(917) 680-2621

Fax

(866) 573-0758

NPI assigned

Apr 23, 2007

Last updated

Sep 16, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1184842288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "FLEISCHMANNS",
            "state": "NY",
            "postal_code": "124300285",
            "telephone_number": "917-680-2621",
            "fax_number": "866-573-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 285",
            "city": "FLEISCHMANNS",
            "state": "NY",
            "postal_code": "124300285",
            "telephone_number": "917-680-2621",
            "fax_number": "866-573-0758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLEN",
        "first_name": "DENINE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03133231",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Denise Freeman, LMSW
• Brenda Geehrer-Todd, M.S. CCC/SLP
• Thalia S Gil, LPN
• Gloria Zola-Mulloy, MSW, LCSW

• Family Nurse Practitioner in Fleischmanns, NY
• Providers in Fleischmanns, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.

Verify at the official NPI Registry.