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DR. JACOB DANIEL WENGERT DC, FNP
NPI 1689097768
Nurse Practitioner in Breese, IL

Active since January 27, 2014PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
9515 HOLY CROSS LN STE 175, BREESE, IL 62230(618) 526-8430 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2023, Feb 4, 2022, Jul 23, 2021 and 2 more (5 updates tracked since 2016).

About Dr. Jacob Daniel Wengert Dc, Fnp NPPES

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

DR. JACOB DANIEL WENGERT DC, FNP (NPI 1689097768) is an individual nurse practitioner in Breese, Illinois, licensed in Illinois (209023063) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and maintains 7 additional practice locations.

NPPES Registry Identity

NPI1689097768
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. JACOB DANIEL WENGERTCredential: DC, FNP
Location Address9515 HOLY CROSS LN STE 175Breese, IL 62230-3618
Mailing Address9515 Holy Cross Ln Ste 175Breese, IL 62230-3618
Phone(618) 526-8430
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 27, 2014
Last NPPES UpdateOctober 3, 20235 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1689097768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209023063
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209023063 (IL)
9515 HOLY CROSS LN STE 175, Breese, IL 62230
Open in Google Maps ↗

Secondary Practice Locations 7

Location 112860 Troxler AveHighland, IL 62249-2898 · Phone (618) 641-5803
Location 217 Ginger Creek MdwsGlen Carbon, IL 62034-3508 · Phone (618) 656-9777 · Fax (618) 656-1249
Location 3108 W US Highway 40Troy, IL 62294-1836 · Phone (618) 667-1800 · Fax (618) 667-1802
Location 4159 E McArthur DrBethalto, IL 62010-1918 · Phone (618) 258-7504
Location 54804 S State Route 159 Ste 10Glen Carbon, IL 62034-1904 · Phone (618) 391-5080 · Fax (618) 205-3569
Location 65036 N Illinois St Ste 5Fairview Heights, IL 62208-3417 · Phone (618) 671-6800
Location 71103 Belt Line RdCollinsville, IL 62234-4368 · Phone (618) 344-2273 · Fax (618) 344-3034

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Dr. Jacob Daniel Wengert Dc, Fnp 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 ID9537391792
PECOS Enrollment IDI20210623001834
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 9

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
2,074 services119 patients
Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg J7325
Synvisc or Synvisc-One is a treatment involving an injection of a substance called hyaluronan into your joints. This substance, naturally found in the body, helps lubricate and cushion your joints, reducing pain and improving mobility. It's often used for arthritis patients.
1,488 services20 patients
Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg J7318
Hyaluronan or derivative, Durolane, is a treatment injected directly into the joint to relieve pain and improve mobility. It's often used for arthritis in the knee. The substance works by supplementing your body's natural joint fluid to help lubricate and cushion the joint.
844 services13 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
250 services133 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
214 services155 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
71 services71 patients

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62230 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

RENATO BACOL RIVERA M.D.
Surgery
9515 HOLY CROSS LN STE 175
BREESE, IL 62230
Clinton County (618) 526-8430
DR. OSMAN SALIH MAHDI BABIKIR M.D.
Surgery
9515 HOLY CROSS LN STE 175
BREESE, IL 62230
Clinton County (618) 636-2261
ULUNNA KECHINYERE MACBEAN M.D
Surgery
9515 HOLY CROSS LN STE 175
BREESE, IL 62230
Clinton County (618) 526-8430

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 Wengert's NPI number?

The NPI number for Jacob Wengert is 1689097768. It was assigned to this individual provider in the NPPES registry on January 27, 2014.

Where is Jacob Wengert located?

Jacob Wengert practices at 9515 Holy Cross Ln Ste 175, Breese, IL 62230. The listed phone number is (618) 526-8430.

What is Jacob Wengert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jacob Wengert enrolled in Medicare?

Yes. Jacob Wengert 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 Jacob Wengert accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Jacob Wengert 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 Wengert affiliated with any hospitals?

According to CMS data, Jacob Wengert is affiliated with St Josephs Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Wengert was last updated on October 3, 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.