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

Kimberly Hansen Polonsky, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1073954590

Kimberly Hansen Polonsky, FNP-BC is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2013, 13 years ago. Practices with Novant Health Medical Group, LLC, a 2,410-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
13
Licensed in
NC
In the registry since
2013
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1918 Randolph Rd Ste 275
Charlotte, NC 28207-1109
Phone: (704) 384-1354
Fax: (704) 384-1374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5301 Wilkinson Blvd, Charlotte, NC 28208-5455 — (704) 316-6561

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5006279 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 236192 (NC)

Record details

NPI number1073954590
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 12, 2013
Last updated in NPPESJuly 29, 2024
Certification dateJuly 29, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Novant Health Medical Group, Llc — 2410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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