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SARAH JOLLY PA-C
NPI 1225708514
Physician Assistant in Mansfield, TX

Active since September 17, 2021PECOS EnrolledAccepts Medicare Assignment
2800 E BROAD ST STE 514, MANSFIELD, TX 76063(817) 465-5311(817) 465-8569 Get Directions Write a Review

NPPES record last updated: November 22, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 22, 2025, Oct 12, 2021, Sep 17, 2021 (3 updates tracked since 2021).

About Sarah Jolly Pa-c NPPES

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

SARAH JOLLY PA-C (NPI 1225708514) is an individual physician assistant in Mansfield, Texas, licensed in Texas (PA14992) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1225708514
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSARAH JOLLYCredential: PA-C
Location Address2800 E BROAD ST STE 514Mansfield, TX 76063-6417
Mailing Address2800 E Broad St Ste 514Mansfield, TX 76063-6417 · (817) 465-5311 · Fax (817) 465-8569
Phone(817) 465-5311
Fax(817) 465-8569
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 17, 2021
Last NPPES UpdateNovember 22, 20253 updates tracked since enumeration
NPPES CertifiedNovember 22, 2025
✔ NPI 1225708514 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 TX · PA14992
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.
2800 E BROAD ST STE 514, Mansfield, TX 76063
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Secondary Practice Location 1

Location 13430 W. Wheatland Rd, Suite 202Dallas, TX 75237 · Phone (972) 780-5886

Other Identifiers 1

OtherTEMPORARYTmb License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..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

Sarah Jolly Pa-c 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 ID3779981402
PECOS Enrollment IDI20211012000274
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.

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
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 3

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

DR. ANNA MARIA TOKER M.D.
Colon & Rectal Surgery
2800 E BROAD ST STE 514
MANSFIELD, TX 76063
Tarrant County (214) 942-3740
ZENROZE MED LLC
Electrodiagnostic Medicine
2800 E BROAD ST STE 514
MANSFIELD, TX 76063
Tarrant County (214) 269-3875
ANTONIO REEVES ROZIER MD
Physical Medicine & Rehabilitation (Pain Medicine)
2800 E BROAD ST STE 514
MANSFIELD, TX 76063
Tarrant County (682) 253-2986

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 Sarah Jolly's NPI number?

The NPI number for Sarah Jolly is 1225708514. It was assigned to this individual provider in the NPPES registry on September 17, 2021.

Where is Sarah Jolly located?

Sarah Jolly practices at 2800 E Broad St Ste 514, Mansfield, TX 76063. The listed phone number is (817) 465-5311.

What is Sarah Jolly's specialty?

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

Is Sarah Jolly enrolled in Medicare?

Yes. Sarah 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 Sarah Jolly accept?

Health plans from Imperial Insurance Companies, Inc. list Sarah 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 Sarah Jolly affiliated with any hospitals?

According to CMS data, Sarah Jolly is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Sarah Jolly was last updated on November 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.