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, maintains a secondary practice location in Schaumburg, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
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.
Medicare Billing Reassignments
4Medicare enrollment records show Jolly Macwan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Morton Grove, IL 60053
- Reassigned Medicare billing, Illinois enrollment
- 12 clinicians in this Medicare group
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 clinicians in this Medicare group
Chicago, IL 60641
- Reassigned Medicare billing, Illinois enrollment
- 366 clinicians in this Medicare group
Cicero, IL 60804
- Reassigned Medicare billing, Illinois enrollment
- 20 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.
Physician 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.
Which organizations bill Medicare for Jolly Macwan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jolly Macwan reassigns Medicare benefits to 4 organizations: Northwest Chicago Urgent Care Sc (Morton Grove, IL), Northwestern Medical Faculty Foundation (Carol Stream, IL), Physicians Immediate Care North Chicago LLC (Chicago, IL) and Cermak Medical Group LLC (Cicero, IL). 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 Jolly Macwan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jolly Macwan accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Jolly Macwan 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.
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 14 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
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Northwest Chicago Urgent Care Sc (NPI 1508533266, Morton Grove, IL); Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL); Physicians Immediate Care North Chicago LLC (NPI 1205814118, Chicago, IL); Cermak Medical Group LLC (NPI 1518498393, Cicero, IL) · CMS Revalidation Reassignment List, October 2026 release
- **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.