JACOB LOUIS MUCKERMAN (FNP BC) – Family Nurse Practitioner, NPI 1275880429
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for JACOB LOUIS MUCKERMAN (FNP BC)
1723 BROADWAY ST
SUITE 410
CAPE GIRARDEAU, MO 637014566
Phone: (573) 339-1957
Fax: (573) 339-9709
Type: Mailing
1723 BROADWAY ST STE 410
CAPE GIRARDEAU, MO 637014556
Phone: (573) 339-1957
Fax: (573) 339-9709
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2012-11-01
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 |
|---|---|---|---|---|
| I20121101000434 | I | Nurse Practitioner | MO | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 322 | 240 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 73 | 73 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 32 | 32 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 29 | 17 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 28 | 19 | $0 |
Insurance plans in this area (ZIP 63701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | MO | |
| Interventional Pain Management, Pain Management | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| Physician Assistant | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| N E U R O S U R G E R Y | WA |
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