Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jolly P Macwan, NP

Individual provider Family Nurse Practitioner · NPI 1306551486

Mr. Jolly P Macwan, NP is a Nurse Practitioner in Kenosha, Wisconsin. Qualified in 2021, 5 years ago. Practices with Cermak Medical Group LLC, a 21-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Wisconsin.

Years since qualifying
5
Licensed in
IL, WI
In the registry since
2023
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

10400 75th St
Kenosha, WI 53142-7884
Phone: (262) 948-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 E Woodfield Rd Ste 113, Schaumburg, IL 60173-4786 — (847) 686-6866

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 16677-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209026572 (IL)

Record details

NPI number1306551486
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedJanuary 23, 2023
Last updated in NPPESAugust 17, 2025
Certification dateAugust 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cermak Medical Group Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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