Holly Jo Paul, NP - Medicare Nurse Practitioner in Jackson, MI

Holly Jo Paul, NP is a medicare enrolled "Nurse Practitioner" in Jackson, Michigan. She graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Iep Urgent Care - Jackson Pllc and her current practice location is 205 N East Ave, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 788-4996.

Holly Jo Paul is licensed to practice in Michigan (license number 4704169647) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295786630.

Contact Information

Holly Jo Paul, NP
205 N East Ave,
Jackson, MI 49201-1753
(517) 788-4996
(517) 796-6410

Map and Direction




Provider's Profile

Full NameHolly Jo Paul
GenderFemale
SpecialityNurse Practitioner
Experience24 Years
Location205 N East Ave, Jackson, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Holly Jo Paul graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1295786630
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 11/23/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1658397203
  • Enrollment ID: I20051021000830

Medical Identifiers

Medical identifiers for Holly Jo Paul such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295786630NPI-NPPES
P00322004OtherMIRR MEDICARE
P00371302OtherMIRR MEDICARE
4813065MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 4704169647 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iep Urgent Care - Jackson Pllc004261913216

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Holly Jo Paul allows following entities to bill medicare on her behalf.
Entity NameIndependent Emergency Physicians, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780791343
PECOS PAC ID: 6709798325
Enrollment ID: O20031103000407
Entity NameCarelink Of Jackson A Community Owned Specialty Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053781625
PECOS PAC ID: 3678484482
Enrollment ID: O20040114000467
Entity NameW.a. Foote Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629000708
PECOS PAC ID: 0244136067
Enrollment ID: O20040612000395
Entity NameIndependent Observation Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700119500
PECOS PAC ID: 3577603604
Enrollment ID: O20091221000327
Entity NameIndependent Hospitalist Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851820641
PECOS PAC ID: 3971874090
Enrollment ID: O20170808003906
Entity NameIep Urgent Care - Jackson Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336725688
PECOS PAC ID: 0042619132
Enrollment ID: O20210521001112
Entity NameIep - Post Acute Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760166821
PECOS PAC ID: 0648631812
Enrollment ID: O20230803003290

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Jo Paul is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Holly Jo Paul, NP
Po Box 67000, Department 272801,
Detroit, MI 48267-2728

Ph: (517) 841-6913
Holly Jo Paul, NP
205 N East Ave,
Jackson, MI 49201-1753

Ph: (517) 788-4996

Reviews and Comments


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Mrs. Sandra Kay Raby, GNP-BC
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Phone: 517-205-1731    Fax: 517-205-7649

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.