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MS. TONYA MICHELLE JOLLY PNP-AC
NPI 1073745444
Nurse Practitioner - Pediatrics in Tampa, FL

Active since August 18, 2009PECOS Enrolled
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 821-8038(813) 974-0483 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 3, 2024, Sep 18, 2019 (2 updates tracked since 2019).

About Ms. Tonya Michelle Jolly Pnp-ac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TONYA MICHELLE JOLLY PNP-AC (NPI 1073745444) is an individual pediatrics provider in Tampa, Florida, licensed in Florida (11030111) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Durham.

NPPES Registry Identity

NPI1073745444
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMS. TONYA MICHELLE JOLLYCredential: PNP-AC
Location Address3001 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6307
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038 · Fax (813) 974-0483
Phone(813) 821-8038
Fax(813) 974-0483
Sole ProprietorNo
Enumeration DateAugust 18, 2009
Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration
NPPES CertifiedJuly 3, 2024
✔ NPI 1073745444 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in FL · 11030111
3001 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607
Open in Google Maps ↗

Secondary Practice Location 1

Location 12100 Erwin RdDurham, NC 27705-3941 · Phone (919) 684-8111

Other Identifiers 2

OtherLP9QVFL · Blue Cross Blue Shield
Medicaid121735800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Tonya Michelle Jolly Pnp-ac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tonya Jolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Service Association Inc
3.7 mi
Pediatrics
17 DAVIS BLVD, 1ST FLOOR
Tampa, FL 33606
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group
NPI 1821038761 (813) 259-8700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33607 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAYLA EDMONDS CAA
Anesthesiologist Assistant
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 350-7244
BAYCARE MEDICAL GROUP INC
Pediatrics (Pediatric Critical Care Medicine)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 870-4619
ROLA ASHOUR
Nurse Practitioner (Family)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 870-4000
HEIDI RUTH HESS ARNP
Nurse Practitioner
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8343
YASMEEN HASHIMIE
Internal Medicine (Hematology & Oncology)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 321-6589
MS. JULIA CHUNG AA
Anesthesiologist Assistant
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 350-7244
RAYMOND GALLAGHER
Registered Nurse (Critical Care Medicine)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (181) 387-0400
DR. MARK D VAALER M.D.
Internal Medicine
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 870-4020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonya Jolly's NPI number?

The NPI number for Tonya Jolly is 1073745444. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is Tonya Jolly located?

Tonya Jolly practices at 3001 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607. The listed phone number is (813) 821-8038.

What is Tonya Jolly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Tonya Jolly enrolled in Medicare?

Yes. Tonya Jolly is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tonya Jolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Jolly reassigns Medicare benefits to University Medical Service Association Inc (Tampa, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tonya Jolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tonya Jolly accept?

Health plans from Oscar Health Maintenance Organization of Florida list Tonya Jolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tonya Jolly was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.