Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jennifer Peace Polatchek, AGPCNP

Individual provider Primary Care Nurse Practitioner · NPI 1245793900

Jennifer Peace Polatchek, AGPCNP is a Nurse Practitioner in New York, New York. Qualified in 2019, 7 years ago. Practices with Prominis Medical Services PC, a 42-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

535 E 70th Street Hss-App Departent
New York, NY 10021
Phone: (646) 714-6514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 309135 (NY)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 309135 (NY)

Record details

NPI number1245793900
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorNo
NPI enumeratedApril 10, 2019
Last updated in NPPESJuly 15, 2025
Certification dateJuly 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prominis Medical Services Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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