Mary Sullivan Jolly, APRN, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3007943 Issued in KY

Practice address

250 Main Street, Suite E
Cadiz, KY 42211

Phone

(270) 522-6963

Fax

(270) 522-7231

NPI assigned

Mar 14, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trigg County Hospital, IncGroup PAC ID 5193620805, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caretenders Home health agency, Cadiz, KY, CCN 187159
• Trigg County Hospital Hospital, Cadiz, KY, CCN 181304

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHCIAA/Endpoint/JHCIAA
• Direct secure messaging: mary.jollynaghtin@tcpc.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Trigg County Hospital, Inc

  • Critical Access Hospital
  • Cadiz, KY
  • NPI 1538218680
  Medicare reassignment Care Compare group NPD
• Trigg County Hospital, Inc

  • Rural Health Clinic/Center
  • Cadiz, KY
  • NPI 1669103347
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Trigg County Home Health, Inc.

  • Home Health Agency
  • Cadiz, KY
  • NPI 1770737728
  Care Compare affiliation
• Trigg County Hospital, Inc

  • Critical Access Hospital
  • Cadiz, KY
  • NPI 1538218680
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1093056038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2140",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "422112140",
            "telephone_number": "270-522-6963",
            "fax_number": "270-522-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 MAIN STREET, SUITE E",
            "city": "CADIZ",
            "state": "KY",
            "postal_code": "42211",
            "telephone_number": "270-522-6963",
            "fax_number": "270-522-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "MARY",
        "middle_name": "SULLIVAN",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humphries Physical Therapy, PLLC
• Stephanie Humphries
• Reagan Hyde, DC
• Infinity Family Care, PLLC
• Leah Nichole Jenkins, ACNP-BC
• Nancy Ellen Jolly, MD
• Mary Elissa Joyce, MSN, APRN, FNP-C
• Kentucky Wellness Center LLC
• Keystone Chiropractic and Family Wellness, LLC
• McKenzie Kunnecke

• Family Nurse Practitioner in Cadiz, KY
• Providers in Cadiz, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.