CAROLYN JOLLY – Nurse Practitioner, NPI 1104839968
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,538 NURSE PRACTITIONER in CA
Provider Addresses for CAROLYN JOLLY
504, Plaza Drive, Santa Maria, Santa Barbara County, California, 93454, United States
SANTA MARIA, CA 934546917
Phone: (805) 739-3474
Type: Mailing
217 W Central Ave Ste G
Lompoc, CA 934362830
Phone: (805) 735-4292
Fax: (805) 735-4293
Type: Location
877 OAK PARK BLVD
PISMO BEACH, CA 934493292
Phone: (805) 474-8450
Fax: (805) 474-8454
Type: Mailing
2271 S Depot St
Santa Maria, CA 934551216
Phone: (805) 922-0561
Fax: (805) 922-0083
Type: Location
1102 E Clark Ave Ste 120A
Santa Maria, CA 934555175
Phone: (805) 332-8185
Fax: (805) 332-8186
Type: Location
5920 West Mall
Atascadero, CA 934224232
Phone: (805) 466-0676
Fax: (805) 466-4862
Type: Location
877, Oak Park Boulevard, Pismo Beach, San Luis Obispo County, California, 93449, United States
PISMO BEACH, CA 934493292
Phone: (805) 474-8450
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($48).
Total Amount
$66
General + Research + Ownership
Payments
3
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $48 |
| Medtronic, Inc. | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-03-10
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060920000468 | I | Nurse Practitioner | CA | TBD |
| I20250310002814 | I | Nurse Practitioner | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 305 | 287 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 242 | 228 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 124 | 12 | $0 |
| 81002 | Urinalysis, manual test | 100 | 94 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 98 | 98 | $0 |
Insurance plans in this area (ZIP 93454)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | GA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Physician Assistant | MO | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | OH | |
| Nurse Practitioner | GA |
Reviews
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