David Bryan Polley, NP - Medicare Nurse Practitioner in Andover, MN

David Bryan Polley, NP is a medicare enrolled "Nurse Practitioner" in Andover, Minnesota. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Healthpartners Medical Group and his current practice location is 15245 Bluebird St Nw, Andover, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 587-4688.

David Bryan Polley is licensed to practice in Minnesota (license number 5741) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1205333275.

Contact Information

David Bryan Polley, NP
15245 Bluebird St Nw,
Andover, MN 55304-3538
(763) 587-4688
(763) 587-4662

Map and Direction




Provider's Profile

Full NameDavid Bryan Polley
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location15245 Bluebird St Nw, Andover, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • David Bryan Polley graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1205333275
  • Provider Enumeration Date: 04/06/2018
  • Last Update Date: 11/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9032464003
  • Enrollment ID: I20180614001904

Medical Identifiers

Medical identifiers for David Bryan Polley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205333275NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5741 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Healthpartners Medical Group17592939541430

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. David Bryan Polley allows following entities to bill medicare on his behalf.
Entity NameGroup Health Plan Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417

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. David Bryan Polley 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
David Bryan Polley, NP
8170 33rd Ave S, Ms 21110q,
Bloomington, MN 55425-4516

Ph: () -
David Bryan Polley, NP
15245 Bluebird St Nw,
Andover, MN 55304-3538

Ph: (763) 587-4688

Reviews and Comments


Nurse Practitioner Nurses in Andover, MN

Divina Fama Bikeri, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15245 Bluebird St Nw, Andover, MN 55304
Phone: 763-587-4688    Fax: 763-587-4662
Jennifer Marie Zwiefelhofer, CNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3633 Bunker Lake Blvd Nw, Clinic #07110, Andover, MN 55304
Phone: 763-421-5011    
Kelly L Nguyen, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304
Phone: 763-392-4001    Fax: 763-862-2091
Stephanie Lynn Piche, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 13819 Hanson Blvd Nw, Andover, MN 55304
Phone: 763-392-4001    
Joy Hanna Cloutier, PHMNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1714 Bunker Lake Blvd Nw Ste 108, Andover, MN 55304
Phone: 763-330-2839    
Chandrawatie Khemraj, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15245 Bluebird St Nw, Andover, MN 55304
Phone: 763-587-4688    Fax: 763-587-4662
Helen C Knutson, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15245 Bluebird St Nw, Mail Stop 39200a, Andover, MN 55304
Phone: 763-712-6000    Fax: 763-712-6090

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.