MRS. MICHELLE VERONICA JACOB (AGNP) – Adult Health Nurse Practitioner, NPI 1033548045
Adult Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for MRS. MICHELLE VERONICA JACOB (AGNP)
PO BOX 7412011
CHICAGO, IL 606742011
Phone: (800) 862-9980
Fax: (314) 362-7785
Type: Mailing
660 S EUCLID AVE
CB 8054
SAINT LOUIS, MO 631101010
Phone: (800) 862-9980
Fax: (314) 362-1185
Type: Mailing
4500 MEMORIAL DR
DEPT ANESTHESIOLOGY
BELLEVILLE, IL 622265360
Phone: (800) 862-9980
Fax: (314) 362-7785
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $98.
Total Amount is formed as General ($98) + Research ($0) + Ownership ($0) = $98.
Last reported payment date: 2024-07-23 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($56).
Total Amount
$98
General + Research + Ownership
Payments
4
Total payment records
General Amount
$98
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Merck Sharp & Dohme LLC | $56 |
| ABIOMED | $42 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-03-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150724011431 | I | Nurse Practitioner | MO | TBD |
| I20160330001486 | I | Nurse Practitioner | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 104 | 55 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 58 | 39 | $0 |
| 99292 | Critical care, each additional 30 minutes | 45 | 20 | $0 |
Insurance plans in this area (ZIP 60674)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | MO | |
| Medical Oncology, Internal Medicine, Hematology/Oncology | IL | |
| Medical Oncology, Internal Medicine | IL | |
| Radiation Oncology | IL | |
| Radiation Oncology | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MO | |
| Critical Care (Intensivists), Anesthesiology | IL | |
| - | IL | |
| Physician Assistant | IL |
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