PETER JOSEPH POLLACHEK A.P.N. NPI 1912902040

NPI Information

  • NPI: 1912902040
  • Provider Name: PETER JOSEPH POLLACHEK, A.P.N.
  • Classification: Nurse Anesthetist, Certified Registered - 367500000X
  • Entity Type: Individual
  • Address: 200 EAST FAIRMAN AVE
    SECOND FLOOR - SPECIALTY CLINIC
    WATSEKA, IL
    ZIP 60970
  • Phone: (708) 522-9793

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NPI Details

Peter Joseph Pollachek, A.P.N. is a nurse anesthetist certified registered in Watseka, IL with 37 years of experience. The provider is (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. Peter Joseph Pollachek, A.P.N. NPI is 1912902040. 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:

200 EAST FAIRMAN AVE
SECOND FLOOR - SPECIALTY CLINIC
WATSEKA, IL
ZIP 60970
Phone: (708) 522-9793
Fax: (855) 339-3205

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Anesthesia for other procedure on large bowel using an endoscope (HCPCS:00811)
  • Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope (HCPCS:00731)
  • Anesthesia for other procedure on upper abdomen (HCPCS:00790)
  • Anesthesia for procedure on small and large bowel using an endoscope (HCPCS:00813)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back (HCPCS:00300)

The enumeration date for this NPI number is 6/16/2005 and was last updated on 12/27/2021.

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
1367500000XNurse Anesthetist, Certified Registered209-000987ILLINOISYes

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: 11/21/2025

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