Samantha Jolly, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

LG-0001105 Issued in DE

Practice address

5936 Limestone Rd
Hockessin, DE 19707-8930

Phone

(302) 235-8008

NPI assigned

Jan 18, 2018

Last updated

Oct 24, 2019By the provider in NPPES

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 DE

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Advancexing Pain and Rehabilitation Clinic PA

  • Physical Medicine & Rehabilitation Physician
  • Newark, DE
  • NPI 1487674982
  Medicare reassignment NPD
• Geriatric Medicine Consultants PA

  • Internal Medicine Physician
  • Greenville, DE
  • NPI 1598031643
  Medicare reassignment NPD
• Alignmed Partners, PC

  dba GPS Physician Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  DE

  Medicare reassignment NPD
• Community Care Health Network LLC

  dba Matrix Medical Network

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1619368842

  DE

  Medicare reassignment NPD
• Infinite Medical PC

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1407483175

  DE

  Medicare reassignment NPD
• Vascular Specialists, P.a.

  dba Vascular Specialists of Delaware, P.A.

  • Vascular Surgery Physician
  • Newark, DE
  • NPI 1366716060
  NPD

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1093223570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CLARION CT",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197131604",
            "telephone_number": "302-290-7225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5936 LIMESTONE RD",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078930",
            "telephone_number": "302-235-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "SAMANTHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "DE",
            "license": "LG-0001105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany James
• Abigail McInerney Janney
• Richard A. Jarrell Jr., PTA
• Wynda Jefferson, LCSW
• Jessica Eichholz LLC
• Joma Consulting LLC (Solid State Psychiatry)
• Andrew H Jones, MA, CCC-SLP
• Love G.K Jones, MSN, APRN, AGPCNP-BC
• Anoop Abraham Joseph
• Robert Kacmarcik

• Primary Care Nurse Practitioner in Hockessin, DE
• Providers in Hockessin, DE by specialty
• Primary Care Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.