MS. JOLLY S VARGHESE CRNP
NPI 1902390461
Nurse Practitioner - Acute Care in Philadelphia, PA

Active since June 19, 2018PECOS EnrolledAccepts Medicare Assignment
3401 N BROAD ST, PHILADELPHIA, PA 19140(215) 707-5864(215) 707-6867 Get Directions Write a Review

NPPES record last updated: December 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 5, 2021, Dec 20, 2018, Jun 19, 2018 (3 updates tracked since 2018).

About Ms. Jolly S Varghese Crnp NPPES

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

MS. JOLLY S VARGHESE CRNP (NPI 1902390461) is an individual acute care provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP018875) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Temple University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902390461
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. JOLLY S VARGHESECredential: CRNP
Location Address3401 N BROAD STPhiladelphia, PA 19140-5103
Mailing Address2450 W Hunting Park AvePhiladelphia, PA 19129-1302 · (215) 707-2433
Fax(215) 707-6867
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 19, 2018
Last NPPES UpdateDecember 5, 20213 updates tracked since enumeration
NPPES CertifiedDecember 5, 2021
✔ NPI 1902390461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in PA · SP018875
3401 N BROAD ST, Philadelphia, PA 19140

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jolly S Varghese Crnp 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.

PECOS PAC ID1456697697
PECOS Enrollment IDI20190109002476
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 Reassignments

6

Medicare enrollment records show Jolly Varghese reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
3401 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,991 clinicians in this Medicare group
Internal Medicine
3401 N BROAD ST
Philadelphia, PA 19140
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 447 clinicians in this Medicare group
Pulmonary Disease
5401 OLD YORK RD, SUITE 363 - KLEIN BLDG
Philadelphia, PA 19141
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,205 clinicians in this Medicare group
Critical Care Medicine
1500 LANSDOWNE AVE
Darby, PA 19023
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 84 clinicians in this Medicare group
Internal Medicine
225 S CENTER AVE
Somerset, PA 15501
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
  • 274 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 553 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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Temple University Hospital

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390027
Location3401 North Broad StreetPhiladelphia, PA 19140 · Philadelphia County
Emergency services Birthing friendly

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers13 claims13 services$13.34 avg. paid by Medicare
Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier11 claims11 services$921.50 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$906.26 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers30 claims30 services$63.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine
3401 N BROAD ST
PHILADELPHIA, PA 19140
Anesthesiology
3401 N BROAD ST
PHILADELPHIA, PA 19140
Surgery
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Diagnostic Radiology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Radiology (Radiation Oncology)
3401 N BROAD ST
PHILADELPHIA, PA 19140
Internal Medicine (Pulmonary Disease)
3401 N BROAD ST, 812 PARKINSON PAVILION
PHILADELPHIA, PA 19140

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 Varghese's NPI number?

The NPI number for Jolly Varghese is 1902390461. It was assigned to this individual provider in the NPPES registry on June 19, 2018.

Where is Jolly Varghese located?

Jolly Varghese practices at 3401 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 707-5864.

What is Jolly Varghese's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jolly Varghese enrolled in Medicare?

Yes. Jolly Varghese 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.

Which organizations bill Medicare for Jolly Varghese's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jolly Varghese reassigns Medicare benefits to 6 organizations: Temple Faculty Practice Plan, Inc (Philadelphia, PA), Temple Physicians Inc. (Philadelphia, PA), Einstein Practice Plan Inc (Philadelphia, PA), Critical Care Physicians Of Pennsylvania PC (Darby, PA), Hospitalist Medicine Physicians Of Pennsylvania, P.C. (Somerset, PA) and 1 more organization, listed in the Medicare section above. Each 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 Jolly Varghese's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jolly Varghese accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jolly Varghese 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.

Is Jolly Varghese affiliated with any hospitals?

According to CMS data, Jolly Varghese is affiliated with Temple University Hospital, Nazareth Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Jolly Varghese was last updated on December 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.