WAYNE JOLLY PA-C
NPI 1679693436
Physician Assistant in Detroit, MI

Q: What is Wayne Jolly's NPI number?

The NPI number for Wayne Jolly is 1679693436. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Q: What is Wayne Jolly's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Jolly was last updated on October 25, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 29, 2007PECOS Enrolled

4100 JOHN R ST, KARMANOS CANCER CENTER, DETROIT, MI 48201(800) 527-6266(313) 576-8381 Get Directions Write a Review

NPPES record last updated: October 25, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Wayne Jolly Pa-c NPPES

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

WAYNE JOLLY PA-C (NPI 1679693436) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601001710) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679693436

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameWAYNE JOLLYCredential: PA-C

Location Address4100 JOHN R ST, KARMANOS CANCER CENTERDetroit, MI 48201-2013

Mailing Address1560 E Maple Rd, Suite 400-credentialingTroy, MI 48083-1138 · (800) 527-6266 · Fax (313) 576-8381

Phone(800) 527-6266

Fax(313) 576-8381

Sole ProprietorNo

Enumeration DateMarch 29, 2007

Last NPPES UpdateOctober 25, 2016

✔ NPI 1679693436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601001710

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4100 JOHN R ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wayne Jolly Pa-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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.