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

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Holly Jo Paul, NP is a medicare enrolled "Nurse Practitioner" in Jackson, Michigan. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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
Location205 N East Ave, Jackson, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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

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 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780791343
PECOS PAC ID: 6709798325
Enrollment ID: O20031103000407
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
Entity NameIep Observation Medicine - Jackson Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982478251
PECOS PAC ID: 6800234592
Enrollment ID: O20240401000555
Entity NameIhp Hospital Medicine - Jackson Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275306078
PECOS PAC ID: 3173961372
Enrollment ID: O20240408001574

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


Nurse Practitioner Nurses in Jackson, MI

Terri Lynn Ladwig, ACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 205 N East Ave, Jackson, MI 49201
Phone: 517-205-4800    Fax: 313-876-1305
Kassidy Jo Treacey,
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 505 N Jackson St, Jackson, MI 49201
Phone: 517-748-5500    
Deanna Marie Tregoning, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 309 Page Ave, Jackson, MI 49201
Phone: 517-787-1234    
Chelsea Marie Schaefer, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1201 E Michigan Ave Ste 300, Jackson, MI 49201
Phone: 517-205-2143    
Sarah Kay Kilponen, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 700 E Michigan Ave, Jackson, MI 49201
Phone: 517-205-8930    
Kamelia Reinhart,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1201 E Michigan Ave Ste 240, Jackson, MI 49201
Phone: 517-205-1591    
Lauren Audrey Nemer,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 505 N Jackson St Fl 1, Jackson, MI 49201
Phone: 262-312-4593    

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.