DR. ANDREA B JOLLEY-PAULET (M.D.) – Emergency Medicine Physician, NPI 1154301463
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,171 EMERGENCY MEDICINE in MN
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Provider Addresses for DR. ANDREA B JOLLEY-PAULET (M.D.)
Fairview Range Medical Center, 750, East 34th Street, Hibbing, Saint Louis County, Minnesota, 55746, United States
HIBBING, MN 557462341
Phone: (612) 770-2607
Mailing address matches the actual address.
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: 2025-10-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (921 days ago).
Enrollment records
7
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 |
|---|---|---|---|---|
| I20031203000418 | I | Family Practice | IA | TBD |
| I20040228000179 | I | Emergency Medicine | MN | TBD |
| I20141110001776 | I | Emergency Medicine | WI | 2023-11-30 |
| I20160831001676 | I | Family Practice | IN | TBD |
| I20221121000079 | I | Emergency Medicine | WV | TBD |
| I20230321001437 | I | Family Practice | TX | TBD |
| I20251016001103 | I | Family Practice | FL | TBD |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 153 | 146 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 153 | 152 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 28 | 26 | $0 |
| 99291 | Critical care, first 30-74 minutes | 15 | 15 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 14 | 14 | $0 |
Insurance plans in this area (ZIP 55746)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | IA | |
| Physician Assistant | TN | |
| - | IA | |
| - | PA | |
| Cardiovascular Disease (Cardiology), Critical Care (Intensivists) | IA | |
| Certified Registered Nurse Anesthetist (Crna) | IA | |
| Physician Assistant | IA | |
| - | IA | |
| Sleep Medicine | IA | |
| Nurse Practitioner | IA |
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