NANCY ELLEN JOLLY (MD) – Family Medicine Physician, NPI 1962905950

NANCY ELLEN JOLLY (MD) is a healthcare provider. based in Murfreesboro, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. J09-873-354 (KY). The NPI Number for NANCY ELLEN JOLLY (MD) is 1962905950

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
NANCY ELLEN JOLLY (MD)
NPI
1962905950
Phone
(615) 396-6454
Address
1020 N HIGHLAND AVE STE C
Enumeration Date
15 March 2018
Last Update Date
2 February 2023

Doctor Profile

Medical School Name
UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
8224361530
Group Practice PAC ID
5193620805
Professional Enrollment ID
I20240105001291
Address ID
KY422119153Ca254XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

2,210 FAMILY PRACTICE in TN

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Provider Addresses for NANCY ELLEN JOLLY (MD)

  • North Highland Avenue, Murfreesboro, Rutherford County, Tennessee, 37130, United States

    MURFREESBORO, TN 371302494

    Phone: (615) 396-6454

    Type: Mailing

  • 214 MAIN ST

    CADIZ, KY 422119153

    Phone: (270) 522-0898

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 52 Open Payments records for all available years, with a total value of $1,024.

Total Amount is formed as General ($1,024) + Research ($0) + Ownership ($0) = $1,024.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($234).

Total Amount

$1,024

General + Research + Ownership

Payments

52

Total payment records

General Amount

$1,024

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2024-01-05

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240105001291IFamily PracticeKYTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37130)

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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: 5193620805View full group profile
NameSpecialtyState
General SurgeryKY
Nurse PractitionerKY
Family PracticeKY
Nurse PractitionerOH
Certified Clinical Nurse Specialist (Cns)KY
Cardiovascular Disease (Cardiology), Internal MedicineKY
Certified Registered Nurse Anesthetist (Crna)KY
-TN
Certified Clinical Nurse Specialist (Cns)KY
Nurse PractitionerME

Reviews

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Frequently asked questions

What federal number belongs to NANCY ELLEN JOLLY (MD)?
The federal identifier for NANCY ELLEN JOLLY (MD) is NPI 1962905950.
Is NANCY ELLEN JOLLY (MD) active in the national directory?
NANCY ELLEN JOLLY (MD)'s public NPI profile is in an active state.
What kind of provider is NANCY ELLEN JOLLY (MD)?
The page reflects Family Medicine Physician for NANCY ELLEN JOLLY (MD). Clinical services aligned with this taxonomy classification.
What location shows for NANCY ELLEN JOLLY (MD)?
We surface Murfreesboro, Tennessee for NANCY ELLEN JOLLY (MD) based on available NPPES addresses.
How can I contact NANCY ELLEN JOLLY (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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