DR. JACOB LENNERT MD
NPI 1164009593
Family Medicine in Lawrenceville, IL

Q: What is Jacob Lennert's NPI number?

The NPI number for Jacob Lennert is 1164009593. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Q: What is Jacob Lennert's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Lennert was last updated on July 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment

2200 STATE ST, LAWRENCEVILLE, IL 62439(618) 270-4853 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2024, Mar 24, 2021 (2 updates tracked since 2021).

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About Dr. Jacob Lennert Md NPPES

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

DR. JACOB LENNERT MD (NPI 1164009593) is an individual family medicine provider in Lawrenceville, Illinois, licensed in Illinois (036.168794) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Wabash General Hospital 1, and is a graduate of University Of Toledo College Of Medicine (2021).

NPPES Registry Identity

NPI1164009593

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JACOB LENNERTCredential: MD

Location Address2200 STATE STLawrenceville, IL 62439-1852

Mailing Address2200 State StLawrenceville, IL 62439-1852 · (618) 943-1000 · Fax (618) 943-1000

Phone(618) 270-4853

Sole ProprietorNo

Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2021

Enumeration DateMarch 24, 2021

Last NPPES UpdateJuly 8, 20242 updates tracked since enumeration

NPPES CertifiedJuly 8, 2024

✔ NPI 1164009593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036.168794

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2200 STATE ST, Lawrenceville, IL 62439

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Jacob Lennert Md 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 ID2163827056

PECOS Enrollment IDI20240723004067

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 Reassignment

Medicare enrollment records show Jacob Lennert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lawrence County Memorial Hospital

Same address

Critical Access

2200 STATE ST
Lawrenceville, IL 62439

Reassigned Medicare billing, Illinois enrollment
Also billed through NPI 1396024162 (Illinois)
80 clinicians in this Medicare group

NPI 1881643401 (618) 943-1000

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

Hospital Affiliations CMS Care Compare 3

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

Wabash General Hospital 1

Critical Access Hospitals · Mount Carmel, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141327

Location1418 College DriveMount Carmel, IL 62863 · Wabash County

Emergency services

Lawrence County Memorial Hospital

Critical Access Hospitals · Lawrenceville, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141344

Location2200 State StLawrenceville, IL 62439 · Lawrence County

Emergency services

Good Samaritan Hospital

Acute Care Hospitals · Vincennes, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number150042

Location520 S 7th StVincennes, IN 47591 · Knox County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62439 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

Other Providers at the Same Location NPPES 19

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

JESSICA PAULIN CRNA

Nurse Anesthetist, Certified Registered