Staci Marie Jacobs, NP in Naperville, IL - Medicare Nurse Practitioner

Staci Marie Jacobs, NP is a medicare enrolled "Nurse Practitioner - Family" in Naperville, Illinois. Her current practice location is 2960 Artesian Rd Ste 144, Naperville, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 687-9206.

Staci Marie Jacobs is licensed to practice in New York (license number 344145) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1215495700.

Contact Information

	Staci Marie Jacobs, NP
	2960 Artesian Rd Ste 144, Naperville, IL 60564-4876
	(630) 687-9206
	(630) 675-1491

Map and Direction

Provider's Profile

Full Name	Staci Marie Jacobs
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2960 Artesian Rd Ste 144, Naperville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215495700
Provider Enumeration Date: 03/04/2019
Last Update Date: 01/12/2023

Medicare PECOS Information:

PECOS PAC ID: 9931440195
Enrollment ID: I20190416002397

Medical Identifiers

Medical identifiers for Staci Marie Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215495700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	041.428259 (Illinois)	Secondary
363LF0000X	Nurse Practitioner - Family	95017721 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	344145 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Staci Marie Jacobs allows following entities to bill medicare on her behalf.

Entity Name	Long Island Physician Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871906941 PECOS PAC ID: 9032436415 Enrollment ID: O20150324000458

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Staci Marie Jacobs is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Staci Marie Jacobs, NP 1010 Fitzwilliam Way, North Aurora, IL 60542-1021 Ph: (630) 346-6716	Staci Marie Jacobs, NP 2960 Artesian Rd Ste 144, Naperville, IL 60564-4876 Ph: (630) 687-9206

Reviews and Comments

Nurse Practitioner Nurses in Naperville, IL

Ivy Millar Enger, APN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Spalding Dr Ste 206, Naperville, IL 60540 Phone: 630-646-7250 Fax: 630-548-7743
Angela Marie Jeffries, MSN CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4043 S Route 59, Naperville, IL 60564 Phone: 630-420-4275 Fax: 630-420-8957
Ella Pearl Zuniga, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Spalding Dr Ste 205, Naperville, IL 60540 Phone: 630-491-8310
Joann El Mahassni, APRN, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1220 Hobson Rd Ste 232, Naperville, IL 60540 Phone: 630-946-6554 Fax: 877-458-3984
Sheila Treftz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr, Suite 401, Naperville, IL 60540 Phone: 630-416-4501 Fax: 630-416-4504
Mrs. Krina Patel, MSN, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1309 Macom Dr Ste 101, Naperville, IL 60564 Phone: 630-236-8018 Fax: 630-236-8949
Ms. Amy Beth Reeb, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1315 Macom Dr, Ste. 203, Naperville, IL 60564 Phone: 630-898-4822

Staci Marie Jacobs, NP - Medicare Nurse Practitioner in Naperville, IL