MS. JILL LOUISE CACCIABANDO APNP
NPI 1356378467
Nurse Practitioner in Saint Louis, MO

Q: What is Jill Cacciabando's NPI number?

The NPI number for Jill Cacciabando is 1356378467. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Q: What is Jill Cacciabando's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jill Cacciabando was last updated on March 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 June 26, 2006PECOS EnrolledAccepts Medicare Assignment

30 RONNIES PLZ, SAINT LOUIS, MO 63126(314) 989-6807 Get Directions Write a Review

NPPES record last updated: March 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2025, Nov 22, 2022, Oct 1, 2021 and 4 more (7 updates tracked since 2018).

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About Ms. Jill Louise Cacciabando Apnp NPPES

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

MS. JILL LOUISE CACCIABANDO APNP (NPI 1356378467) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (145585) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of University Of Missouri, Columbia School Of Medicine (2005).

NPPES Registry Identity

NPI1356378467

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. JILL LOUISE CACCIABANDOCredential: APNP

Location Address30 RONNIES PLZSaint Louis, MO 63126-3552

Mailing AddressPo Box 955534Saint Louis, MO 63195-5218

Phone(314) 989-6807

Sole ProprietorNo

Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 2005

Enumeration DateJune 26, 2006

Last NPPES UpdateMarch 13, 20257 updates tracked since enumeration

NPPES CertifiedMarch 13, 2025

✔ NPI 1356378467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in MO · 145585✔ Licensed in WI · 11394✔ Licensed in IL · 209005863

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.

30 RONNIES PLZ, Saint Louis, MO 63126

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Secondary Practice Locations 3

Location 18571 Watson RdSaint Louis, MO 63119-5218 · Phone (855) 925-4733 · Fax (314) 918-1130

Location 21821 S Stoughton RdMadison, WI 53716-2257 · Phone (314) 989-6807 · Fax (314) 989-2940

Location 3420 E Division StFond Du Lac, WI 54935-4560 · Phone (314) 989-6807

Other Identifiers 2

Medicaid1356378467WI

Medicaid209005863IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Mending Health, Network Health 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

Ms. Jill Louise Cacciabando Apnp 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 ID7012926678

PECOS Enrollment IDI20060411000271, I20060921000282, I20211008002204, I20220323002831

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 4

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.

69 services67 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

54 services29 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

54 services18 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63126 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

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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.

MAX HARRISON RICH MD

Internal Medicine