JAMES JOLLY (NP) – Nurse Practitioner, NPI 1760495535

JAMES JOLLY (NP) is a healthcare provider. based in Atascadero, California. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. NP16455 (CA). The NPI Number for JAMES JOLLY (NP) is 1760495535

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
JAMES JOLLY (NP)
NPI
1760495535
Phone
(805) 466-0676
Address
5920 West Mall
Enumeration Date
14 August 2006
Last Update Date
24 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4234581426
Graduation Year
2006 (20 years ago)
PAC ID
2466457643
Group Practice PAC ID
7719131101
Professional Enrollment ID
I20241211002287
Address ID
TN374213124CH1521XRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for JAMES JOLLY (NP)

  • 5920 West Mall

    Atascadero, CA 934224232

    Phone: (805) 466-0676

    Fax: (805) 466-4862

    Type: Location

  • 877 Oak Park Blvd

    Pismo Beach, CA 934493292

    Phone: (805) 474-8450

    Fax: (805) 474-8454

    Type: Location

  • 217 W Central Ave Ste G

    Lompoc, CA 934362830

    Phone: (805) 735-4292

    Fax: (805) 735-4293

    Type: Location

  • 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

  • 2100 Powell Street, Bay Trail, Emeryville, Alameda County, California, 94608, United States

    STE 900

    EMERYVILLE, CA 946081826

    Phone: (510) 350-2600

    Type: Mailing

  • Kaweah Delta Medical Center, 400, West Mineral King Avenue, Visalia, Tulare County, California, 93291, United States

    VISALIA, CA 932916237

    Phone: (559) 624-2215

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-12-11

PECOS data refreshed: 2026-05-27

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060921000268INurse PractitionerCATBD
I20241211002287INurse PractitionerTNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making248239$0
99285Emergency department visit with high level of medical decision making105104$0
View full utilization report →

Insurance plans in this area (ZIP 93422)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719131101View full group profile
NameSpecialtyState
Nurse PractitionerTN
-TN
Nurse PractitionerTN
Nurse PractitionerTN
-TN
Family PracticeNC
Physician AssistantTN
Family PracticeWI
Physician AssistantMD
Nurse PractitionerTN

Reviews

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Frequently asked questions

What federal number belongs to JAMES JOLLY (NP)?
The federal identifier for JAMES JOLLY (NP) is NPI 1760495535.
Is JAMES JOLLY (NP)'s NPI currently valid?
The extract we use shows JAMES JOLLY (NP) as active.
What does JAMES JOLLY (NP) treat or focus on?
Patients typically see JAMES JOLLY (NP) under the specialty Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where does public data place JAMES JOLLY (NP)?
The snapshot lists Atascadero, California for JAMES JOLLY (NP); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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