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JACLYN JOHNSON JOLLEY PA
NPI 1184144305
Physician Assistant in Twin Falls, ID

Active since June 20, 2017PECOS EnrolledAccepts Medicare Assignment
775 POLE LINE RD W STE 312, TWIN FALLS, ID 83301(208) 814-8500(208) 814-8960 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2024, Jun 20, 2017 (2 updates tracked since 2017).

About Jaclyn Johnson Jolley Pa NPPES

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

JACLYN JOHNSON JOLLEY PA (NPI 1184144305) is an individual physician assistant in Twin Falls, Idaho, licensed in Idaho (PA-1520) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184144305
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJACLYN JOHNSON JOLLEYCredential: PA
Location Address775 POLE LINE RD W STE 312Twin Falls, ID 83301-5823
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 814-8500
Fax(208) 814-8960
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 20, 2017
Last NPPES UpdateJune 10, 20242 updates tracked since enumeration
NPPES CertifiedJune 10, 2024
✔ NPI 1184144305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in ID · PA-1520
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
775 POLE LINE RD W STE 312, Twin Falls, ID 83301
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Other Names 1

Professional Name (2)Jaclyn Johnson Jolley Pa

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.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

Jaclyn Johnson Jolley Pa 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 ID3375801673
PECOS Enrollment IDI20171214000721
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.

Areas of Expertise CMS Part B claims 4

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.
34 services26 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services19 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services11 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83301 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
Most-billed visit code 99213
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

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

AMRA SULJEVIC
Nurse Practitioner (Family)
775 POLE LINE RD W STE 312
TWIN FALLS, ID 83301
Twin Falls County (208) 814-8600

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 Jaclyn Jolley's NPI number?

The NPI number for Jaclyn Jolley is 1184144305. It was assigned to this individual provider in the NPPES registry on June 20, 2017. The provider is also known as Jaclyn Johnson Jolley PA.

Where is Jaclyn Jolley located?

Jaclyn Jolley practices at 775 Pole Line Rd W Ste 312, Twin Falls, ID 83301. The listed phone number is (208) 814-8500.

What is Jaclyn Jolley's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jaclyn Jolley enrolled in Medicare?

Yes. Jaclyn Jolley 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 Jaclyn Jolley accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Jaclyn Jolley 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 Jaclyn Jolley affiliated with any hospitals?

According to CMS data, Jaclyn Jolley is affiliated with St Lukes Magic Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Jaclyn Jolley was last updated on June 10, 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.