Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Holly Jo Paul , NP

Nurse Practitioner • Jackson, MI

Active NPI 1295786630 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

205 N East Ave
Jackson, MI 492011753

Call 5177884996 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

205 N East Ave

Jackson, MI 492011753

Telephone 5177884996
Fax 5177966410
Organization at the Same NPPES Address or Phone
Jackson Radiology Consultants, P C Facility NPI 1295736015

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Independent Emergency Physicians Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2000

Medicare patients

43 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $1,851 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $1,140 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

285 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$1,496 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

26 years (graduated 2000)

CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Holly Paul has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Holly Paul as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jackson and Michigan

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Jackson, MI (2024, 26 clinicians with data). Median for this group: 255. Middle half: 110 to 423.

Fewer Medicare Part B services than 95% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: 167. Middle half: 69 to 368.

Medicare-allowed amount

A lower Medicare-allowed amount than 95% of clinicians listed under Nurse Practitioner in Jackson, MI (2024, 26 clinicians with data). Median for this group: $15,612. Middle half: $5,848 to $29,244.

A lower Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: $13,264. Middle half: $5,488 to $26,831.

Paid by Medicare

A lower Medicare payment amount than 95% of clinicians listed under Nurse Practitioner in Jackson, MI (2024, 26 clinicians with data). Median for this group: $11,923. Middle half: $4,491 to $20,934.

A lower Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,372 clinicians with data). Median for this group: $9,814. Middle half: $4,035 to $19,683.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Jackson, MI (2024, 30 clinicians with data). Median for this group: 607. Middle half: 152 to 1,555.

Close to the middle for clinicians listed under Nurse Practitioner in Michigan (2024, 1,581 clinicians with data). Median for this group: 360. Middle half: 97 to 1,478.

Part D drug cost

A lower Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Jackson, MI (2024, 30 clinicians with data). Median for this group: $8,980. Middle half: $1,938 to $227,487.

A lower Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,581 clinicians with data). Median for this group: $24,697. Middle half: $1,472 to $176,540.

52 active clinicians are listed under Nurse Practitioner with a practice address in Jackson, MI (3,576 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

21.2% of these 52 clinicians have the CMS telehealth indicator.

57.7% of these 52 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 18 $224.00 $102.86

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 87 441 $228.23 85
Doxycycline Hyclate Doxycycline Hyclate 37 385 $232.33 37
Cefuroxime Cefuroxime Axetil 27 252 $478.76 27
Naproxen Naproxen 26 387 $96.08 26
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 23 69 $50.03 23
Ondansetron Odt Ondansetron 19 74 $98.97 19
Azithromycin Azithromycin 18 86 $44.68 18
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 18 188 $170.12 18
Baclofen Baclofen 15 134 $49.15 15
Ibuprofen Ibuprofen 15 93 $47.37 15

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MI 4704169647

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
4813065 (MI)
Other Identifier Rr Medicare
P00322004 (MI)
Other Identifier Rr Medicare
P00371302 (MI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20051021000830

Enrollment State Jurisdiction

MI

PECOS Control ID

1658397203

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Independent Emergency Physicians Pc

16001 W 9 Mile Rd, Southfield, MI 480754818

Phone: 2488493331

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. Jonathan Bradley , MD

Emergency Medicine

NPI 1063463552

Doctor of Medicine (M.D.)

Dr. David Farhat , MD

Emergency Medicine

NPI 1285690230

Doctor of Medicine (M.D.)

Dr. Susan Fedewa , DO

Emergency Medicine

NPI 1750336004

Doctor of Osteopathic Medicine (D.O.)

NPI 1962468090

Doctor of Medicine (M.D.)

Dr. Deepa Macha , MD

Emergency Medicine

NPI 1134121684

Doctor of Medicine (M.D.)

Jill Marshall , NP

Nurse Practitioner

NPI 1972551414

Nurse Practitioner

Career & Practice History

NPI enumerated May 12, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1295786630
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: November 23, 2007
Sole Proprietor: No

Other Nurse Practitioners in Jackson

All Nurse Practitioners in Jackson

Mailing Address

Po Box 67000, Department 272801

Detroit, MI 482672728

Phone: 5178416913

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.