MARK BENEDICT POLLES NP NPI 1659402964

NPI Information

NPI: 1659402964
Provider Name: MARK BENEDICT POLLES, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
5637 MARINE PKWY
NEW PORT RICHEY, FL
ZIP 34652
Phone: (727) 848-1733
Get Directions

Mark Benedict Polles, NP is a family nurse practitioner in New Port Richey, FL. Mark Benedict Polles, NP NPI is 1659402964. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5637 MARINE PKWY
NEW PORT RICHEY, FL
ZIP 34652-316
Phone: (727) 848-1733

The NPI 1659402964 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 9/26/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		NP95004120	CALIFORNIA	No
2	363L00000X	Nurse Practitioner		ARNP2026672	FLORIDA	No
3	363LF0000X	Nurse Practitioner	Family	RN-165625	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S84269	MEDICARE UPIN	MINNESOTA
2	995N5PO	OTHER	MINNESOTA	BCBSM
3	255456900	MEDICAID	MINNESOTA
4	8HD740	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
5	C0304331	MEDICARE PIN	COLORADO
6	59031735	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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