JACOB DOUGLAS VERMEER
NPI 1679218721
Nurse Anesthetist, Certified Registered in Maywood, IL
About Jacob Douglas Vermeer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB DOUGLAS VERMEER (NPI 1679218721) is an individual nurse anesthetist, certified registered in Maywood, Illinois, licensed in Illinois (209030380) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Loyola Gottlieb Memorial Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacob Douglas Vermeer 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.
Medicare Billing Reassignments
6Medicare enrollment records show Jacob Vermeer reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maywood, IL 60153
- Reassigned Medicare billing, Illinois enrollment
- 1,138 clinicians in this Medicare group
Berwyn, IL 60402
- Reassigned Medicare billing, Illinois enrollment
- 86 clinicians in this Medicare group
Chicago, IL 60622
- Reassigned Medicare billing, Illinois enrollment
- 14 clinicians in this Medicare group
Chicago, IL 60622
- Reassigned Medicare billing, Illinois enrollment
- 16 clinicians in this Medicare group
Chicago, IL 60657
- Reassigned Medicare billing, Illinois enrollment
- 23 clinicians in this Medicare group
Pierre, SD 57501
- Reassigned Medicare billing, South Dakota enrollment
- Medicare enrollment name: Avera St Marys
- 197 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Loyola Gottlieb Memorial Hospital
Acute Care Hospitals · Melrose Park, ILAvera St Mary's Hospital
Acute Care Hospitals · Pierre, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MAYWOOD, IL 60153
MAYWOOD, IL 60153
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 Jacob Vermeer's NPI number?
The NPI number for Jacob Vermeer is 1679218721. It was assigned to this individual provider in the NPPES registry on May 3, 2022.
Where is Jacob Vermeer located?
Jacob Vermeer practices at 2160 S 1st Ave, Maywood, IL 60153. The listed phone number is (708) 216-9000.
What is Jacob Vermeer's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jacob Vermeer enrolled in Medicare?
Yes. Jacob Vermeer 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.
Which organizations bill Medicare for Jacob Vermeer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Vermeer reassigns Medicare benefits to 6 organizations: Loyola University Medical Center (Maywood, IL), Gottlieb Community Health Services Corporation (Berwyn, IL), Stellar Anesthesia Specialists PLLC (Chicago, IL), Stellar Pain And Spine Specialists (Chicago, IL), Ireland Anesthesia Management LLC (Chicago, IL) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacob Vermeer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Vermeer accept?
Health plans from Wellmark of South Dakota, Inc. list Jacob Vermeer 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 Jacob Vermeer affiliated with any hospitals?
According to CMS data, Jacob Vermeer is affiliated with Loyola Gottlieb Memorial Hospital and Avera St Mary's Hospital.
When was this NPI record last updated?
The NPPES record for Jacob Vermeer was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jacob Douglas Vermeer · NPI 1679218721
Nurse Anesthetist, Certified Registered physician in Maywood, Illinois. Individual provider, active in the CMS NPPES registry since May 3, 2022.
## Identity
- **NPI:** 1679218721 (Entity type: Individual)
- **Enumerated:** May 3, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 209030380 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2160 S 1ST AVE, Maywood, IL 60153-3328
- **Phone:** (708) 216-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Loyola University Medical Center (NPI 1336159961, Maywood, IL); Gottlieb Community Health Services Corporation (NPI 1013415603, Berwyn, IL); Stellar Anesthesia Specialists PLLC (NPI 1306674536, Chicago, IL); Stellar Pain And Spine Specialists (NPI 1154777159, Chicago, IL); Ireland Anesthesia Management LLC (NPI 1376435198, Chicago, IL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679218721) · Data from the CMS NPPES public registry.