Mrs Michelle Veronica Jacob, AGNP in Belleville, IL

Mrs Michelle Veronica Jacob, AGNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Belleville, Illinois. She graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Washington University Physicians In Illinois, Inc and her current practice location is 4500 Memorial Dr, Dept Anesthesiology, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (800) 862-9980.

Mrs Michelle Veronica Jacob is licensed to practice in Illinois (license number 209011680) 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 1033548045.

Contact Information

	Mrs Michelle Veronica Jacob, AGNP
	4500 Memorial Dr, Dept Anesthesiology, Belleville, IL 62226-5360
	(800) 862-9980
	(314) 362-7785

Map and Direction

Provider's Profile

Full Name	Mrs Michelle Veronica Jacob
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	4500 Memorial Dr, Belleville, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Michelle Veronica Jacob graduated from nursing school in 2013

NPI Data:

NPI Number: 1033548045
Provider Enumeration Date: 11/11/2013
Last Update Date: 04/21/2025

Medicare PECOS Information:

PECOS PAC ID: 9436462066
Enrollment ID: I20160330001486

Medical Identifiers

Medical identifiers for Mrs Michelle Veronica Jacob such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033548045	NPI	-	NPPES
420022730	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	209011680 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Hospital	Belleville, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Washington University Physicians In Illinois, Inc	4789945163	117

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. Mrs Michelle Veronica Jacob allows following entities to bill medicare on her behalf.

Entity Name	Cep America-illinois Hospitalists, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841613403 PECOS PAC ID: 3274765904 Enrollment ID: O20140411001788

Entity Name	Cep America Illinois Intensivists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821641499 PECOS PAC ID: 0345535449 Enrollment ID: O20160829002157

Entity Name	Washington University Physicians In Illinois, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477076263 PECOS PAC ID: 4789945163 Enrollment ID: O20180227002018

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. Mrs Michelle Veronica 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 Address	Practice Location Address
Mrs Michelle Veronica Jacob, AGNP Po Box 7412011, Chicago, IL 60674-2011 Ph: (800) 862-9980	Mrs Michelle Veronica Jacob, AGNP 4500 Memorial Dr, Dept Anesthesiology, Belleville, IL 62226-5360 Ph: (800) 862-9980

Reviews and Comments

Nurse Practitioner Nurses in Belleville, IL

Kelsey Beasley, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3060 Harvest Meadow Dr, Belleville, IL 62221 Phone: 618-792-8887
Ms. Lauren Nicole Marshall, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-5455 Fax: 618-257-4490
Mr. Lito T Rufin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 Memorial Dr, Belleville, IL 62226 Phone: 618-257-6220
Cindy L. Auld, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4600 Memorial Dr, Ste. 400, Belleville, IL 62226 Phone: 618-234-2390 Fax: 618-234-9936
Pamela A O'neal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371
Mrs. Deanna L. Rodenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226 Phone: 618-257-6200 Fax: 618-257-6679

Mrs Michelle Veronica Jacob, AGNP - Medicare Nurse Practitioner in Belleville, IL