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AMANDA C VAN JACOBS MS, RDN, LDN, CNSC
NPI 1225520943
Dietitian, Registered in Chicago, IL

Active since May 30, 2018
1700 W VAN BUREN ST STE 425, CHICAGO, IL 60612(312) 942-5926(312) 942-5203 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda C Van Jacobs Ms, Rdn, Ldn, Cnsc NPPES

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

AMANDA C VAN JACOBS MS, RDN, LDN, CNSC (NPI 1225520943) is an individual dietitian, registered in Chicago, Illinois, licensed in Illinois (164007150) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1225520943
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameAMANDA C VAN JACOBSCredential: MS, RDN, LDN, CNSC
Location Address1700 W VAN BUREN ST STE 425Chicago, IL 60612-5500
Mailing Address1700 W Van Buren St Ste 425Chicago, IL 60612-5500 · (312) 942-5926 · Fax (312) 942-5203
Phone(312) 942-5926
Fax(312) 942-5203
Sole ProprietorNo
Enumeration DateMay 30, 2018
✔ NPI 1225520943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 164007150
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1700 W VAN BUREN ST STE 425, Chicago, IL 60612
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda C Van Jacobs Ms, Rdn, Ldn, Cnsc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Amanda Van Jacobs reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rush University Medical Center
0.2 mi
Diagnostic Radiology
1620 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1184269425 (312) 563-4270

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

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.

HALE DENIZ-VENTURI MS, ATC, LAT, RD,LDN
Dietitian, Registered
1700 W VAN BUREN ST STE 425
CHICAGO, IL 60612
Cook County (312) 942-3438
MRS. JACQUELINE M HANKINS MS,RD,LD
Dietitian, Registered
1700 W VAN BUREN ST STE 425
CHICAGO, IL 60612
Cook County (312) 942-5926
TERESA LEE BALGOS MS, RD, LDN, CNSC
Dietitian, Registered
1700 W VAN BUREN ST STE 425
CHICAGO, IL 60612
Cook County (312) 942-5926
MELISSA ANNE ROEMER MS, RDN, LDN
Dietitian, Registered
1700 W VAN BUREN ST STE 425
CHICAGO, IL 60612
Cook County (312) 942-5926

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 Amanda Van Jacobs's NPI number?

The NPI number for Amanda Van Jacobs is 1225520943. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Amanda Van Jacobs located?

Amanda Van Jacobs practices at 1700 W Van Buren St Ste 425, Chicago, IL 60612. The listed phone number is (312) 942-5926.

What is Amanda Van Jacobs's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Amanda Van Jacobs enrolled in Medicare?

Yes. Amanda Van Jacobs is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Van Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Van Jacobs reassigns Medicare benefits to Rush University Medical Center (Chicago, 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 Amanda Van Jacobs'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 Amanda Van Jacobs was last updated on May 30, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.