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JASMIN JACOB ARNP
NPI 1508683749
Nurse Practitioner - Family in Peoria, IL

Active since September 20, 2024PECOS EnrolledAccepts Medicare Assignment
124 SW ADAMS ST, PEORIA, IL 61602(309) 683-9345 Get Directions Write a Review

NPPES record last updated: September 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasmin Jacob Arnp NPPES

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

JASMIN JACOB ARNP (NPI 1508683749) is an individual family provider in Peoria, Illinois, licensed in Illinois (209.030600) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508683749
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJASMIN JACOBCredential: ARNP
Location Address124 SW ADAMS STPeoria, IL 61602-1308
Mailing Address124 Sw Adams StPeoria, IL 61602-1308 · (309) 683-9345
Phone(309) 683-9345
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 20, 2024
NPPES CertifiedSeptember 20, 2024
✔ NPI 1508683749 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 · 209.030600
124 SW ADAMS ST, Peoria, IL 61602
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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

Jasmin Jacob Arnp 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 ID8729511167
PECOS Enrollment IDI20241024000507
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.

Hospital Affiliations CMS Care Compare 2

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

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Osf Little Company Of Mary Medical Center

Acute Care Hospitals · Evergreen Park, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140179
Location2800 W 95th StEvergreen Park, IL 60805 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61602 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 7

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

OSF HEALTHCARE SYSTEM
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 655-2850
SANDY NORTHCUTT
Nurse Practitioner (Family)
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (888) 209-3761
JAMIN KWEKU ADDAE MD
Surgery
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 691-4005
OSF HEALTHCARE SYSTEM
General Acute Care Hospital
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 655-2850
CONNOR JAMES RACHFORD MD
Student in an Organized Health Care Education/Training Program
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (855) 673-4325
DR. ALEXIS NOELL DANDRIDGE
Physical Therapist
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 839-0470
DAWN SCHURTER LCSW
Social Worker (Clinical)
124 SW ADAMS ST
PEORIA, IL 61602
Peoria County (309) 683-4318

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 Jasmin Jacob's NPI number?

The NPI number for Jasmin Jacob is 1508683749. It was assigned to this individual provider in the NPPES registry on September 20, 2024.

Where is Jasmin Jacob located?

Jasmin Jacob practices at 124 SW Adams St, Peoria, IL 61602. The listed phone number is (309) 683-9345.

What is Jasmin Jacob's specialty?

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

Is Jasmin Jacob enrolled in Medicare?

Yes. Jasmin 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.

Is Jasmin Jacob affiliated with any hospitals?

According to CMS data, Jasmin Jacob is affiliated with Osf Saint Elizabeth Mdl Ctr and Osf Little Company Of Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Jasmin Jacob was last updated on September 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.