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MRS. MICHELLE VERONICA JACOB AGNP
NPI 1033548045
Nurse Practitioner - Adult Health in Belleville, IL

Active since November 11, 2013PECOS EnrolledAccepts Medicare Assignment
92.39/100
CMS Quality Rating
4500 MEMORIAL DR, DEPT ANESTHESIOLOGY, BELLEVILLE, IL 62226(800) 862-9980(314) 362-7785 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 15, 2021, Nov 12, 2021, Jul 26, 2018 (3 updates tracked since 2018).

About Mrs. Michelle Veronica Jacob Agnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MICHELLE VERONICA JACOB AGNP (NPI 1033548045) is an individual adult health provider in Belleville, Illinois, licensed in Illinois (209011680) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1033548045
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. MICHELLE VERONICA JACOBCredential: AGNP
Location Address4500 MEMORIAL DR, DEPT ANESTHESIOLOGYBelleville, IL 62226-5360
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (800) 862-9980 · Fax (314) 362-7785
Phone(800) 862-9980
Fax(314) 362-7785
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 11, 2013
Last NPPES UpdateApril 21, 20253 updates tracked since enumeration
✔ NPI 1033548045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IL · 209011680
4500 MEMORIAL DR, Belleville, IL 62226
Open in Google Maps ↗

Other Identifiers 1

Medicaid420022730MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cox HealthPlans, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Michelle Veronica Jacob Agnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436462066
PECOS Enrollment IDI20160330001486
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Michelle Jacob reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington University Physicians In Illinois, Inc.
Same address
Multi-Specialty
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 530 clinicians in this Medicare group
NPI 1639679749 (314) 362-5641
Cep America-Illinois Hospitalists, LLP
0.1 mi
Internal Medicine
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
NPI 1841613403 (618) 233-7750
Cep America Illinois Intensivists
5.5 mi
Critical Care Medicine
1 SAINT ELIZABETH BLVD
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1992204184 (618) 234-2120
Washington University
14 mi
Multi-Specialty
660 S EUCLID AVE
Saint Louis, MO 63110
  • Reassigned Medicare billing, Missouri enrollment
  • 405 clinicians in this Medicare group
NPI 1528005642 (314) 286-1045

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
79 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
67 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.81
Promoting Interoperability100
Improvement Activities40
Cost70.26

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CEP AMERICA - ILLINOIS SNF, LLP
Internal Medicine (Infectious Disease)
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
MS. LAUREN NICOLE MARSHALL FNP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-5455
MR. LITO T RUFIN NP
Nurse Practitioner
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
KIM C WRIGLEY P.A.
Physician Assistant
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220
BRIAN BENDEL
Nurse Anesthetist, Certified Registered
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (561) 623-2008
DR. PAUL D SANDER MD
Pain Medicine (Pain Medicine)
4500 MEMORIAL DR, ANESTHESIA DEPT
BELLEVILLE, IL 62226
St. Clair County (618) 257-4076
DR. NEIL MCCLYMONT D.O.
Emergency Medicine
4500 MEMORIAL DR, MEMORIAL HOSPITAL - ER
BELLEVILLE, IL 62226
St. Clair County (618) 233-7750
DR. VIBHU DHAWAN MD
Internal Medicine
4500 MEMORIAL DR
BELLEVILLE, IL 62226
St. Clair County (618) 257-6220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Jacob's NPI number?

The NPI number for Michelle Jacob is 1033548045. It was assigned to this individual provider in the NPPES registry on November 11, 2013.

Where is Michelle Jacob located?

Michelle Jacob practices at 4500 Memorial Dr Dept Anesthesiology, Belleville, IL 62226. The listed phone number is (800) 862-9980.

What is Michelle Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Michelle Jacob enrolled in Medicare?

Yes. Michelle Jacob is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michelle Jacob's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Jacob reassigns Medicare benefits to 4 organizations: Washington University Physicians In Illinois, Inc. (Belleville, IL), Cep America-Illinois Hospitalists, LLP (Belleville, IL), Cep America Illinois Intensivists (O Fallon, IL) and Washington University (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Jacob accept?

Health plans from Cox HealthPlans and UnitedHealthcare list Michelle Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Jacob affiliated with any hospitals?

According to CMS data, Michelle Jacob is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Michelle Jacob was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.