ROSHEEDA JOLLY – Certified Registered Nurse Anesthetist, NPI 1750104733

ROSHEEDA JOLLY is a healthcare provider. based in Celina, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 152242 (TX). The NPI Number for ROSHEEDA JOLLY is 1750104733

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
ROSHEEDA JOLLY
NPI
1750104733
Phone
Not provided
Address
4000 HEATHERTON DR
Enumeration Date
6 November 2024
Last Update Date
6 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2148206356
Graduation Year
2024 (2 years ago)
PAC ID
6608361407
Group Practice PAC ID
7315850351
Professional Enrollment ID
I20251218004478
Address ID
TX752462017DA3500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,281 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for ROSHEEDA JOLLY

  • 4000 HEATHERTON DR

    CELINA, TX 750090947

    Phone:

    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: 2025-12-18

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251218004478ICertified Registered Nurse Anesthetist (Crna)TXTBD

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 75009)

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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: 7315850351View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
-TX
-TX
Anesthesiology AssistantTX
-TX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I verify ROSHEEDA JOLLY with an NPI only?
You can start verification with NPI 1750104733 for ROSHEEDA JOLLY, then check state licensing separately.
Is ROSHEEDA JOLLY still practicing?
ROSHEEDA JOLLY is currently listed as active in the public NPI registry.
What is ROSHEEDA JOLLY best known for clinically?
Directory data describes ROSHEEDA JOLLY with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where is ROSHEEDA JOLLY based?
ROSHEEDA JOLLY is tied to Celina, Texas in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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