Individual provider Active NPI

Lauren Nicole Polanin, PA-C

  • Medical Physician Assistant
  • South Abington Township, PA
National Provider Identifier
1801266739
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA057799 Issued in PA
Practice address
1020 Northern Blvd
South Abington Township, PA 18411-2220
Phone
(570) 587-2290
NPI assigned
Oct 5, 2015
Last updated
Dec 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA057799 PA Primary

Addresses

Primary practice location

1020 Northern Blvd
South Abington Township, PA 18411-2220

Mailing address

420 S Jackson St
Pottsville, PA 17901-3625
Phone (570) 621-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151116001461 PA Practitioner - Physician Assistant 6709196108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

5 Lakeview Dr
Moosic, PA 18507-2108
Phone (570) 558-2180

631 Northern Blvd
South Abington Township, PA 18411-9025
Phone (570) 587-2290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Oct 3, 2016 Accepting new patients
Geisinger Clinic CurrentSince Oct 3, 2016 Accepting new patients
Geisinger Clinic GYN Onc Past Accepting new patients
Humboldt Emergency Physicians LLC Past Accepting new patients

Locations

174 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

226 Buckaroo Ln
Bellefonte, PA 16823
Phone (814) 353-1030

425 E 1st St
Bloomsburg, PA 17815
Phone (570) 387-2474

100 N Academy Ave
Danville, PA 17822

560 Pierce St
Kingston, PA 18704
Phone (570) 283-2161

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

128 E Main St
Nanticoke, PA 18634
Phone (570) 258-1304

42 N Main St
Pittston, PA 18640
Phone (570) 602-5610

420 S Jackson St
Pottsville, PA 17901
Phone (570) 621-5000

3 W Olive St
Scranton, PA 18508
Phone (570) 207-4054

1020 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2290

631 Northern Blvd
South Abington Township, PA 18411
Phone (570) 340-6920

1630 N Atherton St
State College, PA 16803
Phone (814) 238-1279

10 Trieble Dr
Tunkhannock, PA 18657
Phone (570) 996-2700

809 Hunter Hwy
Tunkhannock, PA 18657
Phone (570) 966-2700

35 S Mountain Blvd
Wilkes Barre, PA 18707
Phone (570) 474-5072

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

Interoperability endpoints

  • Direct secure messaging: ldukmen137814@direct.geisinger.edu

Organizations & group practices 6

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": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514419200000",
    "number": "1801266739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S JACKSON ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179013625",
            "telephone_number": "570-621-5000",
            "fax_number": "570-622-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 NORTHERN BLVD",
            "city": "SOUTH ABINGTON TOWNSHIP",
            "state": "PA",
            "postal_code": "184112220",
            "telephone_number": "570-587-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLANIN",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-05",
        "last_updated": "2017-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Abington Township, PA

Sources for this page

Verify at the official NPI Registry.