Individual provider Active NPI

Jenna Jolly, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Chicopee, MA
National Provider Identifier
1760587174
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
251899 Issued in MA
Practice address
1109 Granby Rd
Chicopee, MA 01020-1568
Phone
(413) 683-0159
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 251899 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 251899 MA Primary

Addresses

Primary practice location

1109 Granby Rd
Chicopee, MA 01020-1568

Mailing address

332 Birnie Ave
Springfield, MA 01107-1106
Phone (844) 243-4357

Other practice location 1

65 Union St
Easthampton, MA 01027-1447
Phone (844) 243-4357

Other practice location 2

246 Park St
West Springfield, MA 01089-3314
Phone (844) 243-4357

Other practice location 3

30 E Main St
Orange, MA 01364-1277
Phone (844) 243-4357

Other identifiers 1

IdentifierTypeStateIssuer
0704172MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20051122000660 MA Practitioner - Nurse Practitioner 9830119627 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Center for Human Development, Inc.Group PAC ID 7618950874, 70 clinicians

Practice addresses (Care Compare)

1109 Granby Rd
Chicopee, MA 01020-1568
Phone (413) 437-8016

26 S Prospect St
Suite 6
Amherst, MA 01002-2268
Phone (413) 547-4886

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Medical Group Western Massachusetts Inc CurrentSince Nov 1, 2005 Accepting new patients
Jenna Jolly Pmhnp-BC, FNP-BC PLLC Family CurrentSince Jan 1, 2025 Accepting new patients
Center for Human Development, Inc CurrentSince Aug 19, 2023 Accepting new patients
Center for Human Development, Inc. CurrentSince Aug 19, 2023 Accepting new patients

Locations

26 S Prospect St
Ste 6
Amherst, MA 01002
Phone (413) 256-2600

2 Hospital Dr
Ste 101
Holyoke, MA 01040
Phone (413) 536-6902

30 Locust St
Northampton, MA 01060
Phone (413) 582-2000

332 Birnie Ave
Springfield, MA 01107
Phone (413) 439-2189

367 Pine St
Springfield, MA 01105
Phone (413) 737-1426

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1760587174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BIRNIE AVE",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071106",
            "telephone_number": "844-243-4357",
            "fax_number": "413-451-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 GRANBY RD",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010201568",
            "telephone_number": "413-683-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 Union St",
            "address_purpose": "LOCATION",
            "city": "Easthampton",
            "state": "MA",
            "postal_code": "010271447",
            "country_code": "US",
            "telephone_number": "844-243-4357",
            "fax_number": "413-451-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "246 Park St",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010893314",
            "country_code": "US",
            "telephone_number": "844-243-4357",
            "fax_number": "413-451-0037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 E Main St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "MA",
            "postal_code": "013641277",
            "country_code": "US",
            "telephone_number": "844-243-4357",
            "fax_number": "413-451-0037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "JENNA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "251899",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "251899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0704172",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.