Jolly Daniel, FNP
NPI 1679205777 · Family Nurse Practitioner · Portland, OR
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jolly Daniel, FNP is a Family Nurse Practitioner provider in Portland, OR (NPI 1679205777).
Provider details
- NPI number
- 1679205777
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 10031091 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4097 Nw 176th AvePortland, OR 97229-3088Phone: (503) 784-0743
Registry dates
- Enumerated
- 2022-06-28
- Last updated
- 2025-01-02
- Certified
- 2025-01-02
Frequently asked questions
- What is Jolly Daniel's NPI number?
- Jolly Daniel's National Provider Identifier (NPI) is 1679205777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jolly Daniel's specialty?
- Jolly Daniel is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jolly Daniel located?
- Jolly Daniel's practice location on file with NPPES is 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933.
- What is Jolly Daniel's phone number?
- The practice phone number listed in the NPPES registry for Jolly Daniel is (503) 215-8650.
- Does Jolly Daniel accept Medicare?
- Jolly Daniel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jolly Daniel's NPI active?
- Yes — Jolly Daniel's NPI (1679205777) is active in the NPPES registry as of the last update on 2025-01-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.