JACOB P REGISTER LCSW
NPI 1174279244
Social Worker - Clinical in Bloomington, IL
About Jacob P Register Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB P REGISTER LCSW (NPI 1174279244) is an individual clinical provider in Bloomington, Illinois, licensed in Illinois (149023795) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
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
Jacob P Register Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Jacob Register reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Naperville, IL 60564
- Reassigned Medicare billing, Illinois enrollment
- 475 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61704 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
BLOOMINGTON, IL 61704
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 Jacob Register's NPI number?
The NPI number for Jacob Register is 1174279244. It was assigned to this individual provider in the NPPES registry on February 26, 2022.
Where is Jacob Register located?
Jacob Register practices at 808 S Eldorado Rd Ste 102, Bloomington, IL 61704. The listed phone number is (309) 706-3190.
What is Jacob Register's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Jacob Register enrolled in Medicare?
Yes. Jacob Register 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 organization bills Medicare for Jacob Register's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Register reassigns Medicare benefits to Edgewood Clinical Services, P.C. (Naperville, IL). The 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 Jacob Register's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jacob Register was last updated on February 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jacob P Register, LCSW · NPI 1174279244
Clinical provider in Bloomington, Illinois. Individual provider, active in the CMS NPPES registry since February 26, 2022.
## Identity
- **NPI:** 1174279244 (Entity type: Individual)
- **Enumerated:** February 26, 2022
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149023795 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 808 S ELDORADO RD STE 102, Bloomington, IL 61704-6075
- **Phone:** (309) 706-3190
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Edgewood Clinical Services, P.C. (NPI 1295914646, Naperville, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** February 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1174279244) · Data from the CMS NPPES public registry.