Carol Ilma Jacobs, NP - Nurse Practitioner in Cleveland, WI

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Carol Ilma Jacobs, NP is a Nurse Practitioner - Adult Health based in Cleveland, Wisconsin. Carol Ilma Jacobs is licensed to practice in Wisconsin (license number 137) and her current practice location is 1205 North Ave, Cleveland, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 693-5600.

NPI number for Carol Ilma Jacobs is 1255354064 and her current mailing address is 1274 Meadowbrook Drive, Cleveland, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255354064.

Contact Information

Carol Ilma Jacobs, NP
1205 North Ave,
Cleveland, WI 53015-1413
(920) 693-5600
(920) 693-5604

Map and Direction




Provider's Profile

Full NameCarol Ilma Jacobs
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1205 North Ave, Cleveland, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255354064
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Carol Ilma Jacobs such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255354064NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 137 (Wisconsin)Primary

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. Carol Ilma Jacobs is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carol Ilma Jacobs, NP
1274 Meadowbrook Drive,
Cleveland, WI 53015

Ph: () -		Carol Ilma Jacobs, NP
1205 North Ave,
Cleveland, WI 53015-1413

Ph: (920) 693-5600

Reviews and Comments


Nurse Practitioner Nurses in Cleveland, WI

Mr. Tao Lee, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1205 North Ave, Cleveland, WI 53015
Phone: 920-693-5600    Fax: 920-693-5604
Mr. Gary J Kunz, MSN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1205 North Avenue, Cleveland, WI 53015
Phone: 920-693-5600    

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.