MARY SULLIVAN JOLLY (APRN, FNP-BC) – Family Nurse Practitioner, NPI 1093056038
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for MARY SULLIVAN JOLLY (APRN, FNP-BC)
PO BOX 2140
CADIZ, KY 422112140
Phone: (270) 522-6963
Fax: (270) 522-7231
Type: Mailing
250 MAIN STREET, SUITE E
CADIZ, KY 42211
Phone: (270) 522-6963
Fax: (270) 522-7231
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $545.
Total Amount is formed as General ($545) + Research ($0) + Ownership ($0) = $545.
Last reported payment date: 2024-09-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($139).
Total Amount
$545
General + Research + Ownership
Payments
25
Total payment records
General Amount
$545
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $139 |
| Amgen Inc. | $101 |
| Novo Nordisk Inc | $86 |
| Bayer Healthcare Pharmaceuticals Inc. | $84 |
| Axsome Therapeutics, Inc. | $51 |
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: 2013-11-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (922 days ago).
Enrollment records
1
Earliest due date
2023-11-30
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 |
|---|---|---|---|---|
| I20131111001486 | I | Nurse Practitioner | KY | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 42211)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery | KY | |
| Family Practice | KY | |
| Nurse Practitioner | OH | |
| Certified Clinical Nurse Specialist (Cns) | KY | |
| Cardiovascular Disease (Cardiology), Internal Medicine | KY | |
| Certified Registered Nurse Anesthetist (Crna) | KY | |
| - | TN | |
| Certified Clinical Nurse Specialist (Cns) | KY | |
| Nurse Practitioner | ME | |
| Nurse Practitioner | KY |
Reviews
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