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

Kelly Anne Polak, NP

Individual provider Family Nurse Practitioner · NPI 1114133162

Kelly Anne Polak, NP is a Nurse Practitioner in Scottsdale, Arizona. Qualified in 2003, 23 years ago. Practices with Honorhealth Ambulatory, a 625-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
23
Licensed in
AZ
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

9003 E Shea Blvd
Scottsdale, AZ 85260-6709
Phone: (480) 323-3350
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN063628 (AZ)

Record details

NPI number1114133162
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESSeptember 25, 2007

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Honorhealth Ambulatory — 625 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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