Individual provider Active NPI

Jolly Joseph, CRNP

  • Adult Health Nurse Practitioner
  • Kensington, MD
National Provider Identifier
1144705104
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R092171 Issued in MD
Practice address
10605 Concord St Ste 205
Kensington, MD 20895-2526
Phone
(301) 949-4242
Fax
(301) 949-8041
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R092171 MD Primary

Addresses

Primary practice location

10605 Concord St Ste 205
Kensington, MD 20895-2526

Mailing address

14620 Blackburn Rd
Burtonsville, MD 20866-3113
Phone (240) 381-2540

Other practice location 1

1319 Apple Ave Ste H200
Silver Spring, MD 20910-4381
Phone (301) 557-1180

Other practice location 2

12705 Summerwood Dr
Silver Spring, MD 20904-1758
Phone (301) 586-8650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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

Enrollment IDStateProvider typePAC IDDetails
I20231104000510 DC Practitioner - Nurse Practitioner 2860849346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Professional Services of Holy CrossGroup PAC ID 3779516992, 159 clinicians
Suburban/NRH Medical Rehabilitation IncGroup PAC ID 6507846771, 885 clinicians

Practice addresses (Care Compare)

1500 Forest Glen Rd
Silver Spring, MD 20910-1460
Phone (301) 754-7000

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

  • Holy Cross Home Care and Hospice Home health agency, Silver Spring, MD, CCN 217030
  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Holy Cross CurrentSince Oct 25, 2023 Accepting new patients
Professional Services of Holy Cross CurrentSince Oct 25, 2023 Accepting new patients
Professional Services of Holy Cross CurrentSince Nov 24, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Muslim Community Center Past Accepting new patients

Locations

11700 Beltsville Dr
Ste 300
Beltsville, MD 20705
Phone (301) 557-1240

201 Russell Ave
Gaithersburg, MD 20877
Phone (301) 216-4157

10605 Concord St
Kensington, MD 20895
Phone (301) 231-9001

10605 Concord St
Ste 205
Kensington, MD 20895
Phone (301) 949-4242

1319 Apple Ave
Ste H200
Silver Spring, MD 20910
Phone (301) 557-1180

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

Interoperability endpoints

  • Direct secure messaging: jjoseph1156671@direct.trinity-health.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1144705104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14620 BLACKBURN RD",
            "city": "BURTONSVILLE",
            "state": "MD",
            "postal_code": "208663113",
            "telephone_number": "240-381-2540",
            "fax_number": "301-421-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 CONCORD ST STE 205",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952526",
            "telephone_number": "301-949-4242",
            "fax_number": "301-949-8041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Apple Ave Ste H200",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209104381",
            "country_code": "US",
            "telephone_number": "301-557-1180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12705 Summerwood Dr",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209041758",
            "country_code": "US",
            "telephone_number": "301-586-8650",
            "fax_number": "301-586-8650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JOLLY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R092171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.