JACQUELYN M HERBERT
NPI 1922436682
Physician Assistant in Galesburg, IL

Q: What is Jacquelyn Herbert's NPI number?

The NPI number for Jacquelyn Herbert is 1922436682. It was assigned to this individual provider in the NPPES registry on October 16, 2013. The provider is also known as Jacquelyn M Spence.

Q: What is Jacquelyn Herbert's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jacquelyn Herbert was last updated on April 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 16, 2013PECOS EnrolledAccepts Medicare Assignment

3315 N SEMINARY ST, GALESBURG, IL 61401(309) 344-1000(309) 344-2405 Get Directions Write a Review

NPPES record last updated: April 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2023, Mar 30, 2023 (2 updates tracked since 2023).

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About Jacquelyn M Herbert NPPES

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

JACQUELYN M HERBERT (NPI 1922436682) is an individual physician assistant in Galesburg, Illinois, licensed in Illinois (085004892) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Southern Illinois University School Of Medicine (2013).

NPPES Registry Identity

NPI1922436682

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJACQUELYN M HERBERT

Location Address3315 N SEMINARY STGalesburg, IL 61401-1251

Mailing Address3315 N Seminary StGalesburg, IL 61401-1251 · (309) 344-1000 · Fax (309) 344-2405

Phone(309) 344-1000

Fax(309) 344-2405

Sole ProprietorNo

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2013

Enumeration DateOctober 16, 2013

Last NPPES UpdateApril 11, 20232 updates tracked since enumeration

NPPES CertifiedApril 11, 2023

✔ NPI 1922436682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085004892

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3315 N SEMINARY ST, Galesburg, IL 61401

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Other Names 1

Former Name (1)Jacquelyn M Spence

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

Jacquelyn M Herbert 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 ID1850527169

PECOS Enrollment IDI20131114002039

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 3

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140064

Location3333 North SeminaryGalesburg, IL 61401 · Knox County

Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Osf Holy Family Medical Center

Critical Access Hospitals · Monmouth, IL

OwnershipVoluntary non-profit - Church

CMS Certification Number141318

Location1000 W Harlem AvenueMonmouth, IL 61462 · Warren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 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

$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.

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers40 claims136 services$6.05 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers18 claims24 services$1.05 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604