Alisha Jacob, FNP-C - Medicare Nurse Practitioner in Round Lake, IL

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Alisha Jacob, FNP-C is a medicare enrolled "Registered Nurse" in Round Lake, Illinois. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southerncare, Inc. and her current practice location is 515 W Caldwell Dr, Round Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 630-1671.

Alisha Jacob is licensed to practice in Illinois (license number 041482764) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1356151492.

Contact Information

Alisha Jacob, FNP-C
515 W Caldwell Dr,
Round Lake, IL 60073-4296
(847) 630-1671
Not Available

Map and Direction




Provider's Profile

Full NameAlisha Jacob
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location515 W Caldwell Dr, Round Lake, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alisha Jacob graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1356151492
  • Provider Enumeration Date: 01/10/2025
  • Last Update Date: 01/10/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466966395
  • Enrollment ID: I20250710002842

Medical Identifiers

Medical identifiers for Alisha Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356151492NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041482764 (Illinois)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southerncare, Inc.852797773510

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. Alisha Jacob 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 AddressPractice Location Address
Alisha Jacob, FNP-C
515 W Caldwell Dr,
Round Lake, IL 60073-4296

Ph: (847) 630-1671		Alisha Jacob, FNP-C
515 W Caldwell Dr,
Round Lake, IL 60073-4296

Ph: (847) 630-1671

Reviews and Comments


Registered Nurse Nurses in Round Lake, IL

Ms. Carolyn Esther Williams, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 25212 West Rte 120, Wg1-2n, Round Lake, IL 60073
Phone: 847-270-5071    
Brogan Repp,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 34159 N Hainesville Rd, Round Lake, IL 60073
Phone: 847-722-0063    
Katie Louise Sarbacker, R.N.
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 725 Canopy Dr Apt 305, Round Lake, IL 60073
Phone: 608-417-9017    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.