MRS. MICHELLE VERONICA JACOB NP NPI 1033548045

NPI Information

  • NPI: 1033548045
  • Provider Name: MRS. MICHELLE VERONICA JACOB, NP
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4500 MEMORIAL DR
    DEPT ANESTHESIOLOGY
    BELLEVILLE, IL
    ZIP 62226
  • Phone: (800) 862-9980

Map and Directions

Get Directions

NPI Details

MRS. Michelle Veronica Jacob, NP is an adult health nurse practitioner in Belleville, IL with 12 years of experience. MRS. Michelle Veronica Jacob, NP NPI is 1033548045. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 MEMORIAL DR
DEPT ANESTHESIOLOGY
BELLEVILLE, IL
ZIP 62226-360
Phone: (800) 862-9980
Fax: (314) 362-7785

The NPI 1033548045 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Critical care, each additional 30 minutes (HCPCS:99292)

The enumeration date for this NPI number is 11/11/2013 and was last updated on 11/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health209011680ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1420022730MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI