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

Miss. Samantha Elizabeth Polikowski, RN

Individual provider Critical Care Medicine Registered Nurse · NPI 1194134114

Miss. Samantha Elizabeth Polikowski, RN is a Certified Registered Nurse Anesthetist (CRNA) in Boston, Massachusetts. Qualified in 2016, 10 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Massachusetts.

Years since qualifying
10
Licensed in
CA, MA
In the registry since
2014
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

55 Fruit St
Boston, MA 02114-2621
Phone: (617) 724-4910
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 995 Gateway Center Way Ste 207, San Diego, CA 92102-4544 — (619) 263-9729
  • 200 W Arbor Dr, San Diego, CA 92103-9000 — (800) 926-8273

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 95001608 (CA)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 2267172 (MA)

Record details

NPI number1194134114
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedAugust 4, 2014
Last updated in NPPESMarch 16, 2022
Certification dateMarch 16, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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