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JOLLY ABRAHAM
NPI 1154172906
Nurse Practitioner - Family in Gilbert, AZ

Active since March 29, 2024PECOS EnrolledAccepts Medicare Assignment
428 S GILBERT RD STE 101, GILBERT, AZ 85296(480) 677-8282 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2024, May 13, 2024, May 7, 2024 (3 updates tracked since 2024).

About Jolly Abraham NPPES

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

JOLLY ABRAHAM (NPI 1154172906) is an individual family provider in Gilbert, Arizona, licensed in Arizona (APRN-RNP-306923) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1154172906
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOLLY ABRAHAM
Location Address428 S GILBERT RD STE 101Gilbert, AZ 85296-2261
Mailing Address261 N Roosevelt AveChandler, AZ 85226-2617 · (480) 677-8282 · Fax (844) 470-2777
Phone(480) 677-8282
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 29, 2024
Last NPPES UpdateNovember 8, 20243 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1154172906 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 AZ · APRN-RNP-306923
428 S GILBERT RD STE 101, Gilbert, AZ 85296
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jolly Abraham 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 ID7315484425
PECOS Enrollment IDI20240807002501
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 Jolly Abraham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Good Health Medical, PLLC
Same address
Family Medicine
428 S. GILBERT RD., SUITE # 101
Gilbert, AZ 85296
  • Reassigned Medicare billing, Arizona enrollment
  • 321 clinicians in this Medicare group
NPI 1679857825 (480) 677-8282

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85296 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 7

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

MS. MARIE ELIZABETH BREWER FNP-C
Nurse Practitioner (Family)
428 S GILBERT RD STE 101
GILBERT, AZ 85296
Maricopa County (480) 677-8282
JAMIE LYNN MAINVILLE FNP
Nurse Practitioner (Family)
428 S GILBERT RD STE 101
GILBERT, AZ 85296
Maricopa County (480) 677-8282
BETHANY LYNN JAMESON FNP
Nurse Practitioner (Family)
428 S GILBERT RD STE 101
GILBERT, AZ 85296
Maricopa County (480) 677-8282
JANE E STEVENSON PA
Physician Assistant (Medical)
428 S GILBERT RD STE 101
GILBERT, AZ 85296
Maricopa County (480) 677-8282
JESSY MATHEW
Nurse Practitioner (Primary Care)
428 S GILBERT RD STE 101
GILBERT, AZ 85296
Maricopa County (480) 677-8282
STEPHANIE L TERRILL PA-C
Physician Assistant (Medical)
428 S GILBERT RD STE 101
GILBERT, AZ 85296
Maricopa County (480) 677-8282
MS. SARAH MAUREEN LOPEZ P.A.-C
Physician Assistant
428 S GILBERT RD STE 101
GILBERT, AZ 85296
Maricopa County (480) 677-8282

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 Jolly Abraham's NPI number?

The NPI number for Jolly Abraham is 1154172906. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Jolly Abraham located?

Jolly Abraham practices at 428 S Gilbert Rd Ste 101, Gilbert, AZ 85296. The listed phone number is (480) 677-8282.

What is Jolly Abraham's specialty?

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

Is Jolly Abraham enrolled in Medicare?

Yes. Jolly Abraham 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.

Which organization bills Medicare for Jolly Abraham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jolly Abraham reassigns Medicare benefits to Good Health Medical, PLLC (Gilbert, AZ). 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 Jolly Abraham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jolly Abraham accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Oscar Health Plan, Inc. and UnitedHealthcare list Jolly Abraham 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 Jolly Abraham was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.