Individual provider Active NPI

Yvonne C Jolly, R.N., M.S., A.N.P.C.

  • Adult Health Nurse Practitioner
  • Geneva, NY
National Provider Identifier
1982652608
Registry record updated Aug 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F301742 Issued in NY
Practice address
1150 Routes 5 & 20
Geneva, NY 14456
Phone
(315) 789-5758
Fax
(315) 789-0741
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2008

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 F301742 NY Primary

Addresses

Primary practice location

1150 Routes 5 & 20
Geneva, NY 14456

Mailing address

1150 Routes 5 & 20
Geneva, NY 14456
Phone (315) 789-5758

Other identifiers 4

IdentifierTypeStateIssuer
02509240MedicaidNY
000923698003OtherNYHEALTHNOW ID#
P019301742OtherNYBLUE CHOICE ID#
109133BOOtherNYPREFERRED CARE ID#

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20041117000741 NY Practitioner - Nurse Practitioner 3779547997 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geneva General Hospital, IncGroup PAC ID 7810809407, 88 clinicians

Practice addresses (Care Compare)

200 N St
Suite 304
Geneva, NY 14456-1561
Phone (315) 787-4204

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
301742NYMDHospitalist Physician
F301742NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince May 1, 2014 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Oct 9, 2020 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Geneva General Hospital, Inc CurrentSince May 9, 2022 Accepting new patients
Geneva General Hospital, Inc. CurrentSince May 9, 2022 Accepting new patients
Geneva General Hospital Inc. Past Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1150 State Route 5 and 20
Geneva, NY 14456
Phone (315) 759-5319

196 North St
Geneva, NY 14456
Phone (315) 787-4156

200 North St
Ste 304
Geneva, NY 14456
Phone (315) 607-8915

200 North St
Ste 203
Geneva, NY 14456
Phone (315) 787-5883

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Interoperability endpoints

  • Direct secure messaging: y.jolly@flhmedical.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218153600000",
    "number": "1982652608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 ROUTES 5 & 20",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-789-5758",
            "fax_number": "315-789-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 ROUTES 5 & 20",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "14456",
            "telephone_number": "315-789-5758",
            "fax_number": "315-789-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLLY",
        "first_name": "YVONNE",
        "middle_name": "C",
        "credential": "R.N., M.S., A.N.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F301742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02509240",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW ID#",
            "identifier": "000923698003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHOICE ID#",
            "identifier": "P019301742",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE ID#",
            "identifier": "109133BO",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.