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FERNANDA N JACOBS DNP, APRN, AGACNP-BC
NPI 1730962580
Nurse Practitioner in Mchenry, IL

Active since August 16, 2023PECOS EnrolledAccepts Medicare Assignment
4309 W MEDICAL CENTER DR STE B301, MCHENRY, IL 60050(847) 535-6083(847) 234-4336 Get Directions Write a Review

NPPES record last updated: August 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2024, Jul 22, 2024, Oct 24, 2023 and 1 more (4 updates tracked since 2023).

About Fernanda N Jacobs Dnp, Aprn, Agacnp-bc NPPES

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

FERNANDA N JACOBS DNP, APRN, AGACNP-BC (NPI 1730962580) is an individual nurse practitioner in Mchenry, Illinois, licensed in Illinois (209028349) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and maintains a secondary practice location in Rockford.

NPPES Registry Identity

NPI1730962580
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameFERNANDA N JACOBSCredential: DNP, APRN, AGACNP-BC
Location Address4309 W MEDICAL CENTER DR STE B301Mchenry, IL 60050-8439
Mailing Address4309 W Medical Center Dr Ste B301Mchenry, IL 60050-8439 · (847) 535-6083 · Fax (847) 234-4336
Phone(847) 535-6083
Fax(847) 234-4336
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 16, 2023
Last NPPES UpdateAugust 6, 20244 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1730962580 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 · 209028349
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 · Acute CareTaxonomy 363LA2100X · License 209.028349 (IL), 041462060 (IL)
4309 W MEDICAL CENTER DR STE B301, Mchenry, IL 60050
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Secondary Practice Location 1

Location 18201 E Riverside BlvdRockford, IL 61114-2300 · Phone (815) 971-7000 · Fax (815) 968-7830

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

Fernanda N Jacobs Dnp, Aprn, Agacnp-bc 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 ID8921457573
PECOS Enrollment IDI20231208000640
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Fernanda Jacobs reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwestern Medical Faculty Foundation
19 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866
Rockford Health Physicians
35 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
50 services48 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
35 services35 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.
25 services25 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Medicine Mchenry

Acute Care Hospitals · Mchenry, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140116
Location4201 Medical Center DriveMchenry, IL 60050 · Mc Henry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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 3

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

MARGARET M GAYNOR APRN, CNP
Nurse Practitioner
4309 W MEDICAL CENTER DR STE B301
MCHENRY, IL 60050
McHenry County (847) 802-7400
SALMAN ALI KHAN MD
Internal Medicine (Gastroenterology)
4309 W MEDICAL CENTER DR STE B301
MCHENRY, IL 60050
McHenry County (847) 535-6083
DR. EDWARD R KESSLER M.D.
Internal Medicine (Pulmonary Disease)
4309 W MEDICAL CENTER DR STE B301
MCHENRY, IL 60050
McHenry County (312) 695-1800

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 Fernanda Jacobs's NPI number?

The NPI number for Fernanda Jacobs is 1730962580. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Fernanda Jacobs located?

Fernanda Jacobs practices at 4309 W Medical Center Dr Ste B301, Mchenry, IL 60050. The listed phone number is (847) 535-6083.

What is Fernanda Jacobs's specialty?

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

Is Fernanda Jacobs enrolled in Medicare?

Yes. Fernanda Jacobs 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 Fernanda Jacobs's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fernanda Jacobs reassigns Medicare benefits to 2 organizations: Northwestern Medical Faculty Foundation (Carol Stream, IL) and Rockford Health Physicians (Rockford, IL). 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 Fernanda Jacobs's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Fernanda Jacobs affiliated with any hospitals?

According to CMS data, Fernanda Jacobs is affiliated with Northwestern Medicine Mchenry.

When was this NPI record last updated?

The NPPES record for Fernanda Jacobs was last updated on August 6, 2024. 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.