Polina Koenigsmann
Individual provider Active NPI Nurse Practitioner · Toano, VA
NPI 1497631451 · NPPES record last updated Sep 16, 2025
Key facts
- NPI
- 1497631451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 24194266 (VA)
- Practice address
- 8459 Sheldon Branch PL
Toano, VA 23168-9272 - Phone
- (757) 272-4989
- NPI assigned
- Aug 14, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bon Secours Urgent Care LLC
Practice addresses (Care Compare)
11201 Nuckols Rd
Glen Allen, VA 23059-5502
Phone (804) 887-8322
14163 Midlothian Tpke
Midlothian, VA 23113-6523
Phone (804) 893-8702
1502 N Parham Rd
Richmond, VA 23229-4661
Phone (804) 877-8323
4835 S Laburnum Ave
Richmond, VA 23231-2713
Phone (804) 877-8324
9851 Brook Rd
Glen Allen, VA 23059-4559
Phone (804) 893-8702
Hospital & facility affiliations
- Bon Secours St Marys Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251203002097 | VA | Practitioner - Nurse Practitioner | 8325531825 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24194266 | VA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bon Secours Urgent Care LLC | Current |
Accepting new patients |
Locations
9851 Brook Rd
Glen Allen, VA 23059
Phone (804) 893-8702
Interoperability endpoints
- pkoenigsmann3071431@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 24194266 | VA | Yes |
Addresses
Primary practice location
8459 Sheldon Branch PL
Toano, VA 23168-9272
Mailing address
PO Box 11
Toano, VA 23168-0011
Other providers in Toano, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.