Misty Windom Polson, FNP-C - Medicare Nurse Practitioner in Columbia, SC

Misty Windom Polson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Columbia, South Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Musc Community Physicians and her current practice location is 2750 Laurel St Ste 303, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 252-1953.

Misty Windom Polson is licensed to practice in South Carolina (license number 20836) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396286365.

Contact Information

Misty Windom Polson, FNP-C
2750 Laurel St Ste 303,
Columbia, SC 29204-2025
(803) 252-1953
(803) 217-6750

Map and Direction




Provider's Profile

Full NameMisty Windom Polson
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location2750 Laurel St Ste 303, Columbia, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Misty Windom Polson graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1396286365
  • Provider Enumeration Date: 03/10/2017
  • Last Update Date: 08/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0143598938
  • Enrollment ID: I20170620002278

Medical Identifiers

Medical identifiers for Misty Windom Polson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396286365NPI-NPPES
NP4524MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 20836 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Amedisys Home Health Of CamdenCamden, SCHome health agency
Amedisys Home Health Of LexingtonLexington, SCHome health agency
Providence HealthColumbia, SCHospital
Musc Medical CenterCharleston, SCHospital
Prisma Health BaptistColumbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Musc Community Physicians6507260668793

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Misty Windom Polson allows following entities to bill medicare on her behalf.
Entity NamePrecision Rehabilitation, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750789236
PECOS PAC ID: 8123342870
Enrollment ID: O20150128002085
Entity NameProvidence Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285253336
PECOS PAC ID: 9638475627
Enrollment ID: O20160328001916
Entity NameMusc Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Windom Polson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Misty Windom Polson, FNP-C
Po Box 935722,
Atlanta, GA 31193-5722

Ph: (843) 792-6200
Misty Windom Polson, FNP-C
2750 Laurel St Ste 303,
Columbia, SC 29204-2025

Ph: (803) 252-1953

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.