JOLLY THOMAS FNP-C
NPI 1396460259
Nurse Practitioner - Family in Phoenix, AZ

Active since October 04, 2022PECOS Enrolled
3115 W BAJADA DR, PHOENIX, AZ 85083(480) 619-7856 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jolly Thomas Fnp-c NPPES

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

JOLLY THOMAS FNP-C (NPI 1396460259) is an individual family provider in Phoenix, Arizona, licensed in Arizona (281739) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396460259
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOLLY THOMASCredential: FNP-C
Location Address3115 W BAJADA DRPhoenix, AZ 85083-5822
Mailing Address3115 W Bajada DrPhoenix, AZ 85083-5822 · (480) 619-7856
Sole ProprietorNo
Enumeration DateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
NPI 1396460259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AZ · 281739
3115 W BAJADA DR, Phoenix, AZ 85083

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jolly Thomas Fnp-c 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 85083 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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 Thomas's NPI number?

The NPI number for Jolly Thomas is 1396460259. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Jolly Thomas located?

Jolly Thomas practices at 3115 W Bajada Dr, Phoenix, AZ 85083. The listed phone number is (480) 619-7856.

What is Jolly Thomas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jolly Thomas enrolled in Medicare?

Yes. Jolly Thomas is registered in the Medicare PECOS enrollment system.

What insurance does Jolly Thomas accept?

Health plans from UnitedHealthcare list Jolly Thomas 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 Thomas was last updated on October 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.