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MRS. ANCY CHAKKALAKAL JACOB FNP-C
NPI 1457779639
Nurse Practitioner - Family in Chicago, IL

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
1969 W OGDEN AVE, CHICAGO, IL 60612(312) 864-4395(312) 864-9500 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2021, Aug 12, 2020, Aug 5, 2020 (3 updates tracked since 2020).

About Mrs. Ancy Chakkalakal Jacob Fnp-c NPPES

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

MRS. ANCY CHAKKALAKAL JACOB FNP-C (NPI 1457779639) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.011429) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1457779639
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANCY CHAKKALAKAL JACOBCredential: FNP-C
Location Address1969 W OGDEN AVEChicago, IL 60612-3765
Mailing Address1950 W Polst St. Professional Building, 6 Th Fl. # 17Chicago, IL 60612 · (312) 864-4395 · Fax (312) 864-9500
Phone(312) 864-4395
Fax(312) 864-9500
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 3, 2014
Last NPPES UpdateApril 26, 20213 updates tracked since enumeration
NPPES CertifiedApril 26, 2021
✔ NPI 1457779639 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 · 209.011429
Also ListedRegistered Nurse · HospiceTaxonomy 163WH1000X · License 041-306342 (IL)
1969 W OGDEN AVE, Chicago, IL 60612
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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

Mrs. Ancy Chakkalakal Jacob Fnp-c 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 ID4284857863
PECOS Enrollment IDI20140529001156
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 60612 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.

DR. VIGNESH CHIDAMBARAM MD, MPH
Internal Medicine (Cardiovascular Disease)
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
LUCAS KUZMANIC DO
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
KEERTHIKA VIJAYAKUMAR MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. KEVIN BOUBOULEIX
Emergency Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
NABEEL ZIA AHMED
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
DR. VAMSI KRISHNA KAZA M.D., MBBS
Internal Medicine
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-6000
CHRISTINE MARIA WHIPPLE LCSW
Social Worker (Clinical)
1969 W OGDEN AVE, ROOM 1698
CHICAGO, IL 60612
Cook County (312) 864-1466
LESLIE FENIO PA-C
Physician Assistant
1969 W OGDEN AVE
CHICAGO, IL 60612
Cook County (312) 864-7761

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 Ancy Jacob's NPI number?

The NPI number for Ancy Jacob is 1457779639. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Ancy Jacob located?

Ancy Jacob practices at 1969 W Ogden Ave, Chicago, IL 60612. The listed phone number is (312) 864-4395.

What is Ancy Jacob's specialty?

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

Is Ancy Jacob enrolled in Medicare?

Yes. Ancy 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.

When was this NPI record last updated?

The NPPES record for Ancy Jacob was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.