JOLLY DANIEL FNP
NPI 1679205777
Nurse Practitioner - Family in Portland, OR
About Jolly Daniel Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOLLY DANIEL FNP (NPI 1679205777) is an individual family provider in Portland, Oregon, licensed in Oregon (10031091) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS, is affiliated with Providence St Vincent Medical Center, and maintains a secondary practice location in Portland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Jolly Daniel Fnp 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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Vincent Medical Center
Acute Care Hospitals · Portland, ORProvidence Newberg Medical Center
Acute Care Hospitals · Newberg, ORProvidence Portland Medical Center
Acute Care Hospitals · Portland, ORProvidence Seaside Hospital
Critical Access Hospitals · Seaside, ORProvidence Hood River Memorial Hospital
Critical Access Hospitals · Hood River, ORPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97213 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.
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
PORTLAND, OR 97213
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 Daniel's NPI number?
The NPI number for Jolly Daniel is 1679205777. It was assigned to this individual provider in the NPPES registry on June 28, 2022.
Where is Jolly Daniel located?
Jolly Daniel practices at 4805 NE Glisan St Ste 11N, Portland, OR 97213. The listed phone number is (503) 215-8650.
What is Jolly Daniel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jolly Daniel enrolled in Medicare?
Yes. Jolly Daniel 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 Daniel affiliated with any hospitals?
According to CMS data, Jolly Daniel is affiliated with Providence St Vincent Medical Center, Providence Newberg Medical Center, Providence Portland Medical Center, Providence Seaside Hospital and Providence Hood River Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Jolly Daniel was last updated on January 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
