SHEBY ELSA JACOB NP
NPI 1407535826
Nurse Practitioner - Family in Chicago, IL

Q: What is Sheby Jacob's NPI number?

The NPI number for Sheby Jacob is 1407535826. It was assigned to this individual provider in the NPPES registry on July 13, 2023.

Q: What is Sheby 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 Sheby Jacob was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since July 13, 2023PECOS EnrolledAccepts Medicare Assignment

1715 E 95TH ST, CHICAGO, IL 60617(773) 977-7256 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Jul 13, 2023 (2 updates tracked since 2023).

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About Sheby Elsa Jacob Np NPPES

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

SHEBY ELSA JACOB NP (NPI 1407535826) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.027902) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1407535826

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHEBY ELSA JACOBCredential: NP

Location Address1715 E 95TH STChicago, IL 60617-4708

Mailing Address1715 E 95th StChicago, IL 60617-4708 · (832) 818-7251

Phone(773) 977-7256

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 13, 2023

Last NPPES UpdateNovember 30, 20232 updates tracked since enumeration

NPPES CertifiedNovember 30, 2023

✔ NPI 1407535826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.027902

Also ListedNurse PractitionerTaxonomy 363L00000X · License 041.545102 (IL)

1715 E 95TH ST, Chicago, IL 60617

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Sheby Elsa Jacob Np 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 ID3971966714

PECOS Enrollment IDI20230828001883

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 2

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 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.

27 services22 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60617 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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 20

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

TIMOTHY DAVID PRAJKA DO

Family Medicine