1. Home
  2. Directory
  3. Illinois
  4. Maryville
  5. Physician Assistant
  6. NPI Profile

JESSICA NUSSBAUM PA-C
NPI 1184306524
Physician Assistant - Medical in Maryville, IL

Active since August 04, 2023PECOS EnrolledAccepts Medicare Assignment
6812 STATE ROUTE 162 STE 120, MARYVILLE, IL 62062(618) 288-0044 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jessica Nussbaum Pa-c NPPES

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

JESSICA NUSSBAUM PA-C (NPI 1184306524) is an individual medical provider in Maryville, Illinois, licensed in Illinois (085.009880) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Anderson Hospital, and is a graduate of Pennsylvania State University College Of Medicine (2023).

NPPES Registry Identity

NPI1184306524
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJESSICA NUSSBAUMCredential: PA-C
Location Address6812 STATE ROUTE 162 STE 120Maryville, IL 62062-8586
Mailing Address8333 Goshen RdEdwardsville, IL 62025-6908 · (309) 310-7824
Phone(618) 288-0044
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2023
Enumeration DateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
✔ NPI 1184306524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085.009880
6812 STATE ROUTE 162 STE 120, Maryville, IL 62062
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Nussbaum Pa-c 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 ID8820451933
PECOS Enrollment IDI20230822003452
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
77 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Anderson Hospital

Acute Care Hospitals · Maryville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140289
Location6800 State Route 162Maryville, IL 62062 · Madison County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

CORINNE S REINHOLZ PA
Physician Assistant
6812 STATE ROUTE 162 STE 120
MARYVILLE, IL 62062
Madison County (618) 288-0044
HAILEY NOSALIK PHYSICIAN ASSISTANT
Physician Assistant
6812 STATE ROUTE 162 STE 120
MARYVILLE, IL 62062
Madison County (618) 288-0044
MADELINE ANN ROSEBROUGH
Physician Assistant (Medical)
6812 STATE ROUTE 162 STE 120
MARYVILLE, IL 62062
Madison County (618) 288-0044
REBECCA ERIN OBERKROM PA-C
Physician Assistant (Medical)
6812 STATE ROUTE 162 STE 120
MARYVILLE, IL 62062
Madison County (618) 288-0044

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 Jessica Nussbaum's NPI number?

The NPI number for Jessica Nussbaum is 1184306524. It was assigned to this individual provider in the NPPES registry on August 4, 2023.

Where is Jessica Nussbaum located?

Jessica Nussbaum practices at 6812 State Route 162 Ste 120, Maryville, IL 62062. The listed phone number is (618) 288-0044.

What is Jessica Nussbaum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jessica Nussbaum enrolled in Medicare?

Yes. Jessica Nussbaum 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.

What insurance does Jessica Nussbaum accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jessica Nussbaum 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 Jessica Nussbaum affiliated with any hospitals?

According to CMS data, Jessica Nussbaum is affiliated with Anderson Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Nussbaum was last updated on August 4, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.