Ambili Mariam Jacob, - Medicare Nurse Practitioner in Lake Barrington, IL

Ambili Mariam Jacob, is a medicare enrolled "Nurse Practitioner" in Lake Barrington, 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 George N Atia Md Sc and her current practice location is 22285 N Pepper Rd Ste 409, Lake Barrington, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 382-7165.

Ambili Mariam Jacob is licensed to practice in Illinois (license number 209.030952) 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 1275369126.

Contact Information

Ambili Mariam Jacob,
22285 N Pepper Rd Ste 409,
Lake Barrington, IL 60010-2542
(847) 382-7165
Not Available

Map and Direction




Provider's Profile

Full NameAmbili Mariam Jacob
GenderFemale
SpecialityNurse Practitioner
Experience2 Years
Location22285 N Pepper Rd Ste 409, Lake Barrington, 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:
  • Ambili Mariam Jacob graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1275369126
  • Provider Enumeration Date: 09/09/2024
  • Last Update Date: 05/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9335631928
  • Enrollment ID: I20251121000327

Medical Identifiers

Medical identifiers for Ambili Mariam Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275369126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041410871 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363L00000XNurse Practitioner 209.030952 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Advocate Good Shepherd HospitalBarrington, ILHospital
Advocate Sherman HospitalElgin, ILHospital
Central Dupage HospitalWinfield, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
George N Atia Md Sc296150667013

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. Ambili Mariam 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
Ambili Mariam Jacob,
22285 N Pepper Rd Ste 409,
Lake Barrington, IL 60010-2542

Ph: (847) 382-7165
Ambili Mariam Jacob,
22285 N Pepper Rd Ste 409,
Lake Barrington, IL 60010-2542

Ph: (847) 382-7165

Reviews and Comments


Nurse Practitioner Nurses in Lake Barrington, IL

Mariya Noesen, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 22285 N Pepper Rd Ste 307, Lake Barrington, IL 60010
Phone: 847-931-7550    
Carolyn Lee Johnson, WHNP, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 22285 Pepper Rd., Suite 111, Lake Barrington, IL 60010
Phone: 847-382-7330    
Ms. Rumyana G Krouleva, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22285 N Pepper Rd, Suite #401, Lake Barrington, IL 60010
Phone: 847-882-6604    Fax: 847-882-6228
Lisa R. Jackson, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22285 N Pepper Rd, Suite 401, Lake Barrington, IL 60010
Phone: 847-882-6604    Fax: 847-882-6228
Erin E Micklinghoff, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 22285 N Pepper Rd Ste 311, Lake Barrington, IL 60010
Phone: 847-382-4410    Fax: 847-382-4451
Stephanie Tyree, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 22285 N Pepper Rd Ste 302, Lake Barrington, IL 60010
Phone: 847-726-0774    Fax: 847-277-1549
Mrs. Diane C. Carpenter, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 22285 Pepper Rd, Suite 111, Lake Barrington, IL 60010
Phone: 847-382-7330    Fax: 847-382-9654

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.