1. Home
  2. Directory
  3. Illinois
  4. Lake Barrington
  5. Nurse Practitioner
  6. NPI Profile

AMBILI MARIAM JACOB
NPI 1275369126
Nurse Practitioner in Lake Barrington, IL

Active since September 09, 2024PECOS EnrolledAccepts Medicare Assignment
22285 N PEPPER RD STE 409, LAKE BARRINGTON, IL 60010(847) 382-7165 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 16, 2025, Sep 9, 2024 (2 updates tracked since 2024).

About Ambili Mariam Jacob NPPES

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

AMBILI MARIAM JACOB (NPI 1275369126) is an individual nurse practitioner in Lake Barrington, Illinois, licensed in Illinois (209.030952) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Advocate Sherman Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275369126
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMBILI MARIAM JACOB
Location Address22285 N PEPPER RD STE 409Lake Barrington, IL 60010-2542
Mailing Address22285 N Pepper Rd Ste 409Lake Barrington, IL 60010-2542 · (847) 382-7165
Phone(847) 382-7165
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 9, 2024
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1275369126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.030952
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041410871 (IL)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
22285 N PEPPER RD STE 409, Lake Barrington, IL 60010
Open in Google Maps ↗

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

Ambili Mariam Jacob 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 ID9335631928
PECOS Enrollment IDI20251121000327
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.

Hospital Affiliations CMS Care Compare 3

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

Advocate Sherman Hospital

Acute Care Hospitals · Elgin, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140030
Location1425 North Randall RoadElgin, IL 60123 · Kane County
Emergency services Birthing friendly

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Advocate Good Shepherd Hospital

Acute Care Hospitals · Barrington, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140291
Location450 West Highway 22Barrington, IL 60010 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60010 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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

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

CARLOS ZAMUDIO PA-C
Internal Medicine (Gastroenterology)
22285 N PEPPER RD STE 409
LAKE BARRINGTON, IL 60010
Cook County (847) 382-7165

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 Ambili Jacob's NPI number?

The NPI number for Ambili Jacob is 1275369126. It was assigned to this individual provider in the NPPES registry on September 9, 2024.

Where is Ambili Jacob located?

Ambili Jacob practices at 22285 N Pepper Rd Ste 409, Lake Barrington, IL 60010. The listed phone number is (847) 382-7165.

What is Ambili Jacob's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Ambili Jacob enrolled in Medicare?

Yes. Ambili 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.

Is Ambili Jacob affiliated with any hospitals?

According to CMS data, Ambili Jacob is affiliated with Advocate Sherman Hospital, Northwestern Medicine Central Dupage Hospital and Advocate Good Shepherd Hospital.

When was this NPI record last updated?

The NPPES record for Ambili Jacob was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.