MRS. MARJORIE DIANE JOLLY PA-C
NPI 1790228203
Physician Assistant in Clawson, MI

Q: What is Marjorie Jolly's NPI number?

The NPI number for Marjorie Jolly is 1790228203. It was assigned to this individual provider in the NPPES registry on December 1, 2016. The provider is also known as Marjorie Diane Hagan.

Q: What is Marjorie 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 Marjorie Jolly was last updated on March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since December 01, 2016PECOS Enrolled

1402 W 14 MILE RD, CLAWSON, MI 48017(248) 435-7314 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2023, Oct 20, 2022 (2 updates tracked since 2022).

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About Mrs. Marjorie Diane Jolly Pa-c NPPES

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

MRS. MARJORIE DIANE JOLLY PA-C (NPI 1790228203) is an individual physician assistant in Clawson, Michigan, licensed in Michigan (5601008024) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790228203

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. MARJORIE DIANE JOLLYCredential: PA-C

Location Address1402 W 14 MILE RDClawson, MI 48017-1499

Mailing Address1402 W 14 Mile RdClawson, MI 48017-1499 · (248) 435-7314

Phone(248) 435-7314

Sole ProprietorNo

Enumeration DateDecember 1, 2016

Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration

NPPES CertifiedMarch 23, 2023

✔ NPI 1790228203 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 · 5601008024

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.

1402 W 14 MILE RD, Clawson, MI 48017

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Other Names 1

Former Name (1)Marjorie Diane Hagan

Secondary Practice Locations 2

Location 11500 E Medical Center DrAnn Arbor, MI 48109-5000 · Phone (888) 229-7408

Location 222101 Moross RdDetroit, MI 48236-2148 · Phone (313) 343-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community.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)

Mrs. Marjorie Diane 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48017 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.

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.

SADE ANDREA PITTS FNP-BC

Nurse Practitioner