BETSY JACOB APN
NPI 1366630642
Nurse Practitioner - Family in Bloomingdale, IL

Q: What is Betsy Jacob's NPI number?

The NPI number for Betsy Jacob is 1366630642. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Q: What is Betsy Jacob'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 Betsy Jacob was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 11, 2007PECOS Enrolled

1 TIFFANY PT STE 203, BLOOMINGDALE, IL 60108(630) 828-6821(727) 473-3368 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Betsy Jacob Apn NPPES

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

BETSY JACOB APN (NPI 1366630642) is an individual family provider in Bloomingdale, Illinois, licensed in Illinois (277001175) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366630642

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameBETSY JACOBCredential: APN

Location Address1 TIFFANY PT STE 203Bloomingdale, IL 60108-2916

Mailing Address1 Tiffany Pt Ste 203Bloomingdale, IL 60108-2916 · (630) 828-6821 · Fax (727) 473-3368

Phone(630) 828-6821

Fax(727) 473-3368

Sole ProprietorNo

Enumeration DateOctober 11, 2007

Last NPPES UpdateNovember 12, 2025

NPPES CertifiedNovember 12, 2025

✔ NPI 1366630642 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 IL · 277001175

1 TIFFANY PT STE 203, Bloomingdale, IL 60108

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 (PECOS)

Betsy Jacob Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60108 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.

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 Betsy Jacob's NPI number?

The NPI number for Betsy Jacob is 1366630642. It was assigned to this individual provider in the NPPES registry on October 11, 2007.

Where is Betsy Jacob located?

Betsy Jacob practices at 1 Tiffany Pt Ste 203, Bloomingdale, IL 60108. The listed phone number is (630) 828-6821.

What is Betsy Jacob's specialty?

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

Is Betsy Jacob enrolled in Medicare?

Yes. Betsy Jacob is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Betsy Jacob was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.