Individual provider Active NPI

Danielle Polovich, APRN

  • Family Nurse Practitioner
  • Wesley Chapel, FL
National Provider Identifier
1447961297
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11023471 Issued in FL
Practice address
7792 Abby Brooks Cir
Wesley Chapel, FL 33545-2297
Phone
(813) 526-1182
NPI assigned
Dec 12, 2022
Last updated
Dec 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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 APRN11023471 FL Primary

Addresses

Primary practice location

7792 Abby Brooks Cir
Wesley Chapel, FL 33545-2297

Mailing address

7792 Abby Brooks Cir
Wesley Chapel, FL 33545-2297
Phone (813) 526-1182

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240102002203 FL Practitioner - Nurse Practitioner 7719337872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11023471FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Integrated Rehabilitation, LLC CurrentSince Feb 18, 2025 Accepting new patients

Locations

2813 Gulf To Bay Blvd
Clearwater, FL 33759

Organizations & group practices 1

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": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1447961297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7792 ABBY BROOKS CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335452297",
            "telephone_number": "813-526-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7792 ABBY BROOKS CIR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335452297",
            "telephone_number": "813-526-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOVICH",
        "first_name": "DANIELLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11023471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.