MS. AMBER LAUREN JOLLY MSN, APRN, WHNP-BC
NPI 1649132937
Nurse Practitioner - Women's Health in Johnston, IA

Active since November 25, 2025PECOS Enrolled
6701 CORPORATE DR # 4183, JOHNSTON, IA 50131(515) 954-6463 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Amber Lauren Jolly Msn, Aprn, Whnp-bc NPPES

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

MS. AMBER LAUREN JOLLY MSN, APRN, WHNP-BC (NPI 1649132937) is an individual women's health provider in Johnston, Iowa, licensed in Iowa (F188159) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Vanderbilt University School Of Medicine (2025).

NPPES Registry Identity

NPI1649132937
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. AMBER LAUREN JOLLYCredential: MSN, APRN, WHNP-BC
Location Address6701 CORPORATE DR # 4183Johnston, IA 50131-1659
Mailing Address6701 Corporate Dr # 4183Johnston, IA 50131-1659 · (515) 954-6463
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2025
Enumeration DateNovember 25, 2025
Last NPPES UpdateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1649132937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Licenses✔ Licensed in IA · F188159✔ Licensed in MO · 2026020584
6701 CORPORATE DR # 4183, Johnston, IA 50131

Secondary Practice Location 1

Location 1615 S New Ballas RdSaint Louis, MO 63141-8221 · Phone (314) 251-6092 · Fax (314) 251-7797

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Amber Lauren Jolly Msn, Aprn, Whnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325391592
PECOS Enrollment IDI20260617001401
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 Reassignment

Medicare enrollment records show Amber Jolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Obstetrics & Gynecology
621 S NEW BALLAS RD
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 64 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 50131 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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 Amber Jolly's NPI number?

The NPI number for Amber Jolly is 1649132937. It was assigned to this individual provider in the NPPES registry on November 25, 2025.

Where is Amber Jolly located?

Amber Jolly practices at 6701 Corporate Dr # 4183, Johnston, IA 50131. The listed phone number is (515) 954-6463.

What is Amber Jolly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Amber Jolly enrolled in Medicare?

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

Which organization bills Medicare for Amber Jolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amber Jolly reassigns Medicare benefits to Mercy Womens Services LLC (Saint Louis, MO). The 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 Amber Jolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amber Jolly was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.