LOLITA DENISE HARTLEY NURSE PRACTITIONER
NPI 1306305487
Nurse Practitioner - Psychiatric/Mental Health in Jackson, MS

Active since March 18, 2019PECOS Enrolled
1828 HOSPITAL DR, JACKSON, MS 39204(601) 487-8594(601) 487-8570 Get Directions Write a Review

NPPES record last updated: October 21, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 21, 2020, Mar 18, 2019 (2 updates tracked since 2019).

About Lolita Denise Hartley Nurse Practitioner NPPES

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

LOLITA DENISE HARTLEY NURSE PRACTITIONER (NPI 1306305487) is an individual psychiatric/mental health provider in Jackson, Mississippi, licensed in Mississippi (902992) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306305487
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLOLITA DENISE HARTLEYCredential: NURSE PRACTITIONER
Location Address1828 HOSPITAL DRJackson, MS 39204-3410
Mailing Address1445 Cherry Grove RdCrystal Springs, MS 39059-8749 · (601) 316-1474
Fax(601) 487-8570
Sole ProprietorYes
Enumeration DateMarch 18, 2019
Last NPPES UpdateOctober 21, 20202 updates tracked since enumeration
NPPES CertifiedOctober 21, 2020
NPI 1306305487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MS · 902992
1828 HOSPITAL DR, Jackson, MS 39204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lolita Denise Hartley Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39204 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

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

Counselor (Professional)
1828 HOSPITAL DR
JACKSON, MS 39204

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 Lolita Hartley's NPI number?

The NPI number for Lolita Hartley is 1306305487. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Lolita Hartley located?

Lolita Hartley practices at 1828 Hospital Dr, Jackson, MS 39204. The listed phone number is (601) 487-8594.

What is Lolita Hartley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lolita Hartley enrolled in Medicare?

Yes. Lolita Hartley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lolita Hartley was last updated on October 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.