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ANN JACOB
NPI 1619396207
Psychiatry & Neurology - Psychiatry in Springfield, IL

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
901 W JEFFERSON ST, SPRINGFIELD, IL 62702(312) 513-0307 Get Directions Write a Review

NPPES record last updated: September 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2018, Aug 12, 2016 (2 updates tracked since 2016).

About Ann Jacob NPPES

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

ANN JACOB (NPI 1619396207) is an individual psychiatry provider in Springfield, Illinois, licensed in Illinois (125069375) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Advocate Condell Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1619396207
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameANN JACOB
Location Address901 W JEFFERSON STSpringfield, IL 62702-4833
Mailing AddressPo Box 19642, 901 West JeffersonSpringfield, IL 62794-9642
Phone(312) 513-0307
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2014
Last NPPES UpdateSeptember 26, 20182 updates tracked since enumeration
✔ NPI 1619396207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in IL · 125069375
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
901 W JEFFERSON ST, Springfield, IL 62702
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Ann Jacob 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 ID1254637226
PECOS Enrollment IDI20190801001872
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
37 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 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
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

RICHARD LEE CHIOLA LCPC
Counselor (Professional)
901 W JEFFERSON ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8229
ARINDAM CHAKRABARTY M.D.
Psychiatry & Neurology (Psychiatry)
901 W JEFFERSON ST, SIU PSYCHIATRY
SPRINGFIELD, IL 62702
Sangamon County (217) 761-8669
DR. KARI MARGUERITE WOLF M.D.
Psychiatry & Neurology (Psychiatry)
901 W JEFFERSON ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
TRISHA P MALOTT LCSW
Social Worker (Clinical)
901 W JEFFERSON ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8229
STEPHEN M SOLTYS M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
901 W JEFFERSON ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8229
JEANNE M HANSEN LCSW
Social Worker (Clinical)
901 W JEFFERSON ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8229
DR. ERIC RICHARD BLACK M.D.
Psychiatry & Neurology (Psychiatry)
901 W JEFFERSON ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8000
JEFFREY I BENNETT M.D.
Psychiatry & Neurology (Psychiatry)
901 W JEFFERSON ST
SPRINGFIELD, IL 62702
Sangamon County (217) 545-8229

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 Ann Jacob's NPI number?

The NPI number for Ann Jacob is 1619396207. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Ann Jacob located?

Ann Jacob practices at 901 W Jefferson St, Springfield, IL 62702. The listed phone number is (312) 513-0307.

What is Ann Jacob's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ann Jacob enrolled in Medicare?

Yes. Ann 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.

What insurance does Ann Jacob accept?

Health plans from Providence Health Plan list Ann Jacob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ann Jacob affiliated with any hospitals?

According to CMS data, Ann Jacob is affiliated with Advocate Condell Medical Center and Advocate Lutheran General Hospital.

When was this NPI record last updated?

The NPPES record for Ann Jacob was last updated on September 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.