MR. JOLLY P MACWAN NP
NPI 1306551486
Nurse Practitioner in Kenosha, WI
About Mr. Jolly P Macwan Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JOLLY P MACWAN NP (NPI 1306551486) is an individual nurse practitioner in Kenosha, Wisconsin, licensed in Wisconsin (16677-33) and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and maintains a secondary practice location in Schaumburg.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Mr. Jolly P Macwan 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwest Community Hospital 1
Acute Care Hospitals · Arlington Heights, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53142 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Macwan's NPI number?
The NPI number for Jolly Macwan is 1306551486. It was assigned to this individual provider in the NPPES registry on January 23, 2023.
Where is Jolly Macwan located?
Jolly Macwan practices at 10400 75th St, Kenosha, WI 53142. The listed phone number is (262) 948-5600.
What is Jolly Macwan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jolly Macwan enrolled in Medicare?
Yes. Jolly Macwan 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.
Is Jolly Macwan affiliated with any hospitals?
According to CMS data, Jolly Macwan is affiliated with Northwest Community Hospital 1.
When was this NPI record last updated?
The NPPES record for Jolly Macwan was last updated on August 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Mr. Jolly P Macwan, NP · NPI 1306551486
Nurse Practitioner physician in Kenosha, Wisconsin. Individual provider, active in the CMS NPPES registry since January 23, 2023.
## Identity
- **NPI:** 1306551486 (Entity type: Individual)
- **Enumerated:** January 23, 2023
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 16677-33 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 10400 75TH ST, Kenosha, WI 53142-7884
- **Phone:** (262) 948-5600
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 17, 2025
- **Other identifiers:** Medicaid 100366845 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1306551486) · Data from the CMS NPPES public registry.