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MARY SULLIVAN JOLLY APRN, FNP-BC
NPI 1093056038
Nurse Practitioner - Family in Cadiz, KY

Active since March 14, 2013PECOS EnrolledAccepts Medicare Assignment
250 MAIN STREET, SUITE E, CADIZ, KY 42211(270) 522-6963(270) 522-7231 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Sullivan Jolly Aprn, Fnp-bc NPPES

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

MARY SULLIVAN JOLLY APRN, FNP-BC (NPI 1093056038) is an individual family provider in Cadiz, Kentucky, licensed in Kentucky (3007943) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Trigg County Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1093056038
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARY SULLIVAN JOLLYCredential: APRN, FNP-BC
Location Address250 MAIN STREET, SUITE ECadiz, KY 42211
Mailing AddressPo Box 2140Cadiz, KY 42211-2140 · (270) 522-6963 · Fax (270) 522-7231
Phone(270) 522-6963
Fax(270) 522-7231
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 14, 2013
Last NPPES UpdateMay 1, 2013
✔ NPI 1093056038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 3007943
250 MAIN STREET, SUITE E, Cadiz, KY 42211
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Sullivan Jolly Aprn, Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840426375
PECOS Enrollment IDI20131111001486
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trigg County Hospital

Critical Access Hospitals · Cadiz, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181304
Location254 Main StreetCadiz, KY 42211 · Trigg County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42211 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers15 claims37 services$6.43 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers13 claims13 services$94.56 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims33 services$32.71 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers13 claims78 services$2.42 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier15 claims15 services$35.92 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$83.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mary Jolly's NPI number?

The NPI number for Mary Jolly is 1093056038. It was assigned to this individual provider in the NPPES registry on March 14, 2013.

Where is Mary Jolly located?

Mary Jolly practices at 250 Main Street, Suite E, Cadiz, KY 42211. The listed phone number is (270) 522-6963.

What is Mary Jolly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mary Jolly enrolled in Medicare?

Yes. Mary Jolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mary Jolly accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Mary 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.

Is Mary Jolly affiliated with any hospitals?

According to CMS data, Mary Jolly is affiliated with Trigg County Hospital.

When was this NPI record last updated?

The NPPES record for Mary Jolly was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.