JACOB LOUIS MUCKERMAN FNP BC
NPI 1275880429
Nurse Practitioner - Family in Cape Girardeau, MO

Q: What is Jacob Muckerman's NPI number?

The NPI number for Jacob Muckerman is 1275880429. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Q: What is Jacob Muckerman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Muckerman was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 07, 2012PECOS EnrolledAccepts Medicare Assignment

1723 BROADWAY ST, SUITE 410, CAPE GIRARDEAU, MO 63701(573) 339-1957(573) 339-9709 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 22, 2026, Jun 5, 2024 (2 updates tracked since 2024).

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About Jacob Louis Muckerman Fnp Bc NPPES

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

JACOB LOUIS MUCKERMAN FNP BC (NPI 1275880429) is an individual family provider in Cape Girardeau, Missouri, licensed in Missouri (2012027450) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Southeast, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275880429

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJACOB LOUIS MUCKERMANCredential: FNP BC

Location Address1723 BROADWAY ST, SUITE 410Cape Girardeau, MO 63701-4566

Mailing Address1723 Broadway St Ste 410Cape Girardeau, MO 63701-4556 · (573) 339-1957 · Fax (573) 339-9709

Phone(573) 339-1957

Fax(573) 339-9709

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 7, 2012

Last NPPES UpdateJanuary 22, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 22, 2026

✔ NPI 1275880429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2012027450

1723 BROADWAY ST, Cape Girardeau, MO 63701

Open in Google Maps ↗

Other Identifiers 1

Other2012027450MO · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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

Jacob Louis Muckerman Fnp Bc 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 ID1658521414

PECOS Enrollment IDI20121101000434

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 11

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.

231 services181 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

72 services72 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

62 services59 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.

61 services57 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

44 services44 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

34 services18 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

19 services12 patients

Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63052

This procedure involves the partial removal of a bone segment in your lower back to relieve pressure on your spinal cord or nerves. It's usually done during a spinal fusion in the lower back, which helps to stabilize your spine by joining two or more vertebrae together.

17 services17 patients

Placement of stabilizing device to back, 3-6 spine bone segments 22842

This procedure involves placing a device on your back to stabilize 3-6 spine bone segments. It aids in maintaining spine alignment and reducing pain. The device is secured to the bones, providing support and promoting healing.

16 services15 patients

Partial removal of bone of additional segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back 63053

This procedure involves partially removing a bone section in the lower back to relieve pressure on the spinal cord or nerves. It's performed during a spinal fusion, where bones in the lower back are joined to improve stability and reduce pain.

13 services11 patients

Fusion of spine in lower back with partial removal of spine bone and disc 22633

This procedure, called lumbar spinal fusion, involves joining two or more vertebrae in your lower back. It includes a partial removal of a spine bone and disc to alleviate pain and improve stability. The goal is to reduce motion between vertebrae and prevent nerve irritation.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Southeast

Acute Care Hospitals · Cape Girardeau, MO

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260110

Location1701 Lacey StCape Girardeau, MO 63701 · Cape Girardeau County

Emergency services Birthing friendly

Missouri Delta Medical Center

Acute Care Hospitals · Sikeston, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260113

Location1008 North Main StSikeston, MO 63801 · Scott County

Emergency services Birthing friendly

Poplar Bluff Regional Medical Center

Acute Care Hospitals · Poplar Bluff, MO

2/5 CMS rating

OwnershipProprietary

CMS Certification Number260119

Location3100 Oak Grove RoadPoplar Bluff, MO 63901 · Butler County

Emergency services Birthing friendly

Mercy Hospital Stoddard

Acute Care Hospitals · Dexter, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260160

Location1200 N One Mile RdDexter, MO 63841 · Stoddard County

Emergency services

Saint Francis Medical Center

Acute Care Hospitals · Cape Girardeau, MO

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260183

Location211 St Francis DrCape Girardeau, MO 63703 · Cape Girardeau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63701 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible E0849

DME-Other DME · category DE000N

1 supplier11 claims11 services$33.94 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

MRS. GLADYS GRACE TIWONGE KAMANGA-SOLLO MD

Physical Medicine & Rehabilitation

1723 BROADWAY ST, SUITE 410
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 332-7746

MICHELE L TANZ FNP

Nurse Practitioner (Family)

1723 BROADWAY ST, SUITE 220
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 331-7910

DR. CHRISTOPHER REIS D.O.

Anesthesiology (Pain Medicine)

1723 BROADWAY ST, SUITE 410
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 339-1957

DR. AARON LANG M.D.

Internal Medicine (Hematology & Oncology)

1723 BROADWAY ST, SUITE 315
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 332-0226

KENNETH A DECOURSEY, MD PC

Family Medicine

1723 BROADWAY ST, SUITE 120
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 334-7194

RENAL CARE GROUP OF THE MIDWEST, INC.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)

1723 BROADWAY ST
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 334-7861

MARGARET A WILLIAMS APRN

Nurse Practitioner (Adult Health)

1723 BROADWAY ST, SUITE 310
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 331-7880

MATTHEW D GAETA MD

Internal Medicine (Gastroenterology)

1723 BROADWAY ST, SUITE 220
CAPE GIRARDEAU, MO 63701

Cape Girardeau County (573) 331-7910

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 Muckerman's NPI number?

The NPI number for Jacob Muckerman is 1275880429. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Where is Jacob Muckerman located?

Jacob Muckerman practices at 1723 Broadway St Suite 410, Cape Girardeau, MO 63701. The listed phone number is (573) 339-1957.

What is Jacob Muckerman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jacob Muckerman enrolled in Medicare?

Yes. Jacob Muckerman 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 Jacob Muckerman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Jacob Muckerman 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 Jacob Muckerman affiliated with any hospitals?

According to CMS data, Jacob Muckerman is affiliated with Mercy Hospital Southeast, Missouri Delta Medical Center, Poplar Bluff Regional Medical Center, Mercy Hospital Stoddard and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Muckerman was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.