Active NPI 1295786630 Individual Practitioner Female Practitioner

Holly Jo Paul , NP

Nurse Practitioner • Jackson, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Holly Paul, NP is a certified Nurse Practitioner practicing in Jackson, MI. With approximately 26 years of clinical experience since completing medical education in 2000, Holly Paul delivers high-quality medical care to the local community at 205 N EAST AVE.

Holly Paul is affiliated with Independent Emergency Physicians Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, interpretation and report of electrical activity of heart using 1-3 leads, emergency department visit with moderate level of medical decision making. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

205 N East Ave

Jackson, MI 492011753

Telephone 5177884996

Fax 5177966410

Associated Practice Facility / Clinic

🏢 Jackson Radiology Consultants, P C Facility NPI 1295736015

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jackson, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +15.0 yrs vs City Avg

City Avg: 11.0 Yrs

State Avg: 10.8 Yrs

Regional Practice Density

52 Specialists

Practicing in Jackson, MI (3626 Statewide)

Telehealth Adoption Rate

21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Paul (26 Years) 26 Yrs

Jackson Specialty Average (11.0 Years) 11.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	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

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93042 Interpretation and report of electrical activity of heart using 1-3 leads	30	30	$53.00	$5.61
99284 Emergency department visit with moderate level of medical decision making	22	21	$969.00	$100.77
99285 Emergency department visit for life threatening or functioning severity	15	15	$1354.40	$146.80
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	12	$797.00	$97.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99217 Hospital observation care on day of discharge	63	52	$547.98	$58.37
99226 Subsequent observation care, typically 35 minutes per day	41	22	$771.44	$83.21
99284 Emergency department visit with moderate level of medical decision making	36	32	$963.08	$101.88
99283 Emergency department visit with low level of medical decision making	20	20	$549.00	$60.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$640.00	$164.82
99285 Emergency department visit for life threatening or functioning severity	13	13	$1401.08	$147.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	38	36	$898.00	$105.19
99217 Hospital observation care on day of discharge	35	29	$532.00	$60.65
99283 Emergency department visit with low level of medical decision making	32	29	$486.00	$61.83
99285 Emergency department visit for life threatening or functioning severity	31	31	$1282.90	$153.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99284 Emergency department visit with moderate level of medical decision making	20	19	$827.75	$102.09
99283 Emergency department visit with low level of medical decision making	15	15	$463.33	$55.44
99285 Emergency department visit for life threatening or functioning severity	11	11	$1306.00	$148.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99220 Hospital observation care, typically 70 minutes	27	27	$637.56	$154.52
99283 Emergency department visit with low level of medical decision making	16	15	$401.00	$52.16
99284 Emergency department visit with moderate level of medical decision making	14	13	$660.86	$99.02
99285 Emergency department visit for life threatening or functioning severity	13	13	$1040.85	$145.97
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$914.09	$180.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	86	86	$886.00	$160.60
99284 Emergency department visit with moderate level of medical decision making	69	67	$600.00	$109.17
99283 Emergency department visit with low level of medical decision making	38	37	$339.95	$57.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	55	53	$883.55	$145.14
99283 Emergency department visit with low level of medical decision making	45	40	$319.22	$51.82
99284 Emergency department visit with moderate level of medical decision making	39	39	$596.67	$93.32
99220 Hospital observation care, typically 70 minutes	37	37	$627.00	$154.01

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

4813065 (MI)

Commercial Insurance / Payer ID Rr Medicare

P00322004 (MI)

Commercial Insurance / Payer ID Rr Medicare

P00371302 (MI)

Hospital & Practice Group Affiliations

Independent Emergency Physicians Pc

16001 W 9 Mile Rd, Southfield, MI 480754818

Phone: 2488493331

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Dr. Jonathan Bradley , MD

Emergency Medicine

NPI 1063463552

Doctor of Medicine (M.D.)

Dr. Deepa Macha , MD

Emergency Medicine

NPI 1134121684

Doctor of Medicine (M.D.)

Dr. David Farhat , MD

Emergency Medicine

NPI 1285690230

Doctor of Medicine (M.D.)

Dr. Amir Mujeeb , MD

Internal Medicine

NPI 1447280458

Doctor of Medicine (M.D.)

Dr. David Remmler , MD

Emergency Medicine

NPI 1548226624

Doctor of Medicine (M.D.)

Dr. Gregory Baumann , MD

Emergency Medicine

NPI 1619933660

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 23, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location November 23, 2007

Registered at 205 N EAST AVE, JACKSON, MI 492011753 (Tel: 5177884996)

📍

Updated Business Mailing Address November 23, 2007

Registered at PO BOX 67000, DEPARTMENT 272801, DETROIT, MI 482672728 (Tel: 5178416913)

👤

Provider Name / Credentials Updated November 23, 2007

Recorded as HOLLY PAUL, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2007

Nurse Practitioner (License #4704169647 in MI)

🟢

Initial NPI Registration & Enumeration May 12, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Update or Correct Profile

Mailing Address

Po Box 67000, Department 272801

Detroit, MI 482672728

Phone: 5178416913

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.