HOLLY JO PAUL NP
NPI 1295786630
Nurse Practitioner in Jackson, MI

Active since May 12, 2006PECOS EnrolledAccepts Medicare Assignment
205 N EAST AVE, JACKSON, MI 49201(517) 788-4996(517) 796-6410 Get Directions Write a Review

NPPES record last updated: November 23, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Holly Jo Paul Np NPPES

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

HOLLY JO PAUL NP (NPI 1295786630) is an individual nurse practitioner in Jackson, Michigan, licensed in Michigan (4704169647) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1295786630
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHOLLY JO PAULCredential: NP
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing AddressPo Box 67000, Department 272801Detroit, MI 48267-2728 · (517) 841-6913 · Fax (517) 841-6917
Fax(517) 796-6410
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 12, 2006
Last NPPES UpdateNovember 23, 2007
✔ NPI 1295786630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704169647
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
205 N EAST AVE, Jackson, MI 49201

Other Identifiers 5

OtherP00322004MI · Rr Medicare
Medicare UPINQ54108MI
Medicaid4813065MI
OtherP00371302MI · Rr Medicare
Medicare ID-Type UnspecifiedN48080003MI · Wa Foote Memorial

Accepted 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

Holly Jo Paul Np 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 ID1658397203
PECOS Enrollment IDI20051021000830
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 Reassignments

8

Medicare enrollment records show Holly Paul reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medical Services
205 N EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 48 clinicians in this Medicare group
Hospitalist
205 N EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 52 clinicians in this Medicare group
Internal Medicine
205 N EAST AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: W.A. Foote Memorial Hospital
  • 225 clinicians in this Medicare group
Urgent Care
729 E MICHIGAN AVE
Jackson, MI 49201
  • Reassigned Medicare billing, Michigan enrollment
  • 25 clinicians in this Medicare group
Internal Medicine
703 ROBINSON RD
Jackson, MI 49203
  • Reassigned Medicare billing, Michigan enrollment
  • 8 clinicians in this Medicare group
Emergency Medical Services
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Independent Emergency Physicians PC
  • 273 clinicians in this Medicare group
Hospitalist
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 80 clinicians in this Medicare group
Emergency Medical Services
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 239 clinicians in this Medicare group

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.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230092
Location205 N East AveJackson, MI 49201 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49201 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Anesthesiology
205 N EAST AVE
JACKSON, MI 49201
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201

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 Holly Paul's NPI number?

The NPI number for Holly Paul is 1295786630. It was assigned to this individual provider in the NPPES registry on May 12, 2006.

Where is Holly Paul located?

Holly Paul practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 788-4996.

What is Holly Paul's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Holly Paul enrolled in Medicare?

Yes. Holly Paul 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 organizations bill Medicare for Holly Paul's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Paul reassigns Medicare benefits to 8 organizations: Iep Observation Medicine - Jackson PLLC (Jackson, MI), Ihp Hospital Medicine - Jackson PLLC (Jackson, MI), Wa Foote Memorial Hospital Inc. (Jackson, MI), Iep Urgent Care - Jackson PLLC (Jackson, MI), Iep - Post Acute Care PLLC (Jackson, MI) and 3 more organizations, listed in the Medicare section above. Each 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 Holly Paul's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Paul accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Paramount and Priority Health list Holly Paul 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 Holly Paul affiliated with any hospitals?

According to CMS data, Holly Paul is affiliated with Henry Ford Allegiance Health.

When was this NPI record last updated?

The NPPES record for Holly Paul was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.