KIM D JOLLY (ARNP) – Nurse Practitioner, NPI 1831153733
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for KIM D JOLLY (ARNP)
3716 W OAKLAND PARK BLVD
LAUDERDALE LAKES, FL 333111134
Phone: (954) 759-7557
Fax: (954) 733-9155
Type: Location
1700 NW 49TH ST STE 125
FORT LAUDERDALE, FL 333093750
Phone: (954) 759-7557
Fax: (954) 733-9155
Type: Mailing
Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil
ORLANDO, FL 328862851
Phone: (954) 847-4273
Fax: (954) 847-4245
Type: Mailing
William E. Dandy Middle School, 2400, Northwest 26th Street, Flamingo Village, Fort Lauderdale, Broward County, Florida, 33311, United States
FORT LAUDERDALE, FL 33311
Phone: (754) 322-3235
Fax: (754) 322-3288
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $132.
Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.
Last reported payment date: 2023-11-29 • Largest payer in this snapshot: Amarin Pharma Inc. ($120).
Total Amount
$132
General + Research + Ownership
Payments
2
Total payment records
General Amount
$132
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Amarin Pharma Inc. | $120 |
| Abbott Laboratories | $13 |
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: 2010-10-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20101018000968 | I | Nurse Practitioner | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33311)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| - | FL | |
| N E U R O L O G Y | FL | |
| Critical Care (Intensivists) | FL | |
| Nurse Practitioner | FL | |
| Hand Surgery | FL | |
| Family Practice | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
Reviews
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