DR. JACOB DANIEL WENGERT (DC, FNP) – Chiropractor, NPI 1689097768
Chiropractor
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for DR. JACOB DANIEL WENGERT (DC, FNP)
1103 Belt Line Rd
Collinsville, IL 622344368
Phone: (618) 344-2273
Fax: (618) 344-3034
Type: Location
17 Ginger Creek Mdws
Glen Carbon, IL 620343508
Phone: (618) 656-9777
Fax: (618) 656-1249
Type: Location
108 W US Highway 40
Troy, IL 622941836
Phone: (618) 667-1800
Fax: (618) 667-1802
Type: Location
159 E McArthur Dr
Bethalto, IL 620101918
Phone: (618) 258-7504
Type: Location
5036 N Illinois St Ste 5
Fairview Heights, IL 622083417
Phone: (618) 671-6800
Type: Location
4804 S State Route 159 Ste 10
Glen Carbon, IL 620341904
Phone: (618) 391-5080
Fax: (618) 205-3569
Type: Location
4460 N ILLINOIS ST
SUITE 5
SWANSEA, IL 622261899
Phone:
Type: Mailing
12860 Troxler Ave
Highland, IL 622492898
Phone: (618) 641-5803
Type: Location
9515 HOLY CROSS LN STE 175
BREESE, IL 622303618
Phone:
Type: Mailing
3120 BIRMINGHAM DR
GLEN CARBON, IL 620343059
Phone:
Type: Mailing
4804 S STATE ROUTE 159 STE 10
GLEN CARBON, IL 620341904
Phone: (618) 391-5080
Fax: (618) 205-3569
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $260.
Total Amount is formed as General ($260) + Research ($0) + Ownership ($0) = $260.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($193).
Total Amount
$260
General + Research + Ownership
Payments
6
Total payment records
General Amount
$260
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $193 |
| Avanos Medical | $32 |
| Stryker Corporation | $18 |
| Bioventus LLC | $17 |
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: 2021-06-23
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20210623001834 | 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 |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 237 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 130 | 95 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 61 | 52 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 18 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 62234)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL | |
| G A S T R O E N T E R O L O G Y | TX | |
| Internal Medicine | IL | |
| General Surgery | IL | |
| - | IL | |
| General Surgery | IL | |
| Family Practice | IL | |
| - | IL | |
| - | IL |
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