Amy J Polivka, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209028721 Issued in IL

Practice address

2736 Maple Ave
Downers Grove, IL 60515-4201

Phone

(630) 963-0080

NPI assigned

Nov 9, 2023

Last updated

Dec 19, 2023By 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

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Korwitts Chiropractic PC

  • Chiropractor
  • Downers Grove, IL
  • NPI 1952425084
  Medicare reassignment NPD

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1710751706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2736 MAPLE AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154201",
            "telephone_number": "630-963-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2736 MAPLE AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154201",
            "telephone_number": "630-963-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIVKA",
        "first_name": "AMY",
        "middle_name": "J",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209028721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Playful Pediatric Therapies
• Heather Hollett Pleune, M.A.
• Karen Marie Poetzel, PT
• Jennifer Pohlman, LCSW
• Mackenzie Pokorny, DPT
• James Pollack, MD
• Avaliese Porlier
• Kathleen Anne Post
• Elizabeth Anne Potocnik, M.D.
• Matthew John Potts, SLP

• Family Nurse Practitioner in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.