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Amanda Jacobsen , APN, PMHNP

Nurse Practitioner - Psychiatric/Mental Health β€’ Geneva, IL

Active NPI 1134917370 Individual Practitioner Female Practitioner
Practice location in NPPES

0n597 Fieldstone Ln
Geneva, IL 601343527

Call 9999999999 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

0n597 Fieldstone Ln

Geneva, IL 601343527

Telephone 9999999999
Organization at the Same NPPES Address or Phone
Myrtle Beach Rehabilitation Hospital, Llc Facility NPI 1003312521

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Geneva and Illinois

1 active clinicians are listed under Nurse Practitioner - Psychiatric/Mental Health with a practice address in Geneva, IL (1,604 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-10-10
Nurse Practitioner - Psychiatric/Mental Health Primary Specialty

NUCC Taxonomy Code: 363LP0808X

License # reported to NPPES IL 209035343
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
Dr. David Bluemke , MD

Radiology - Diagnostic Radiology

NPI 1043276728

Doctor of Medicine (M.D.)

Barbara Caldwell , APRN

Nurse Practitioner - Women's Health

NPI 1003898032

Advanced Practice Registered Nurse

Rachel Franzen , NP

Nurse Practitioner

NPI 1033997119

Nurse Practitioner

Corinne Haley , NP

Nurse Practitioner - Family

NPI 1073126272

Nurse Practitioner

Megan Larsen , CRNP

Nurse Practitioner

NPI 1043231376

Certified Registered Nurse Practitioner

Dr. Derek Monette , MD

Emergency Medicine

NPI 1033451398

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address October 10, 2026

Registered at 0N597 FIELDSTONE LN, GENEVA, IL 601343527

πŸ“
Updated Practice Location October 10, 2026

Registered at 0N597 FIELDSTONE LN, GENEVA, IL 601343527 (Tel: 9999999999)

πŸ‘€
Provider Name / Credentials Updated October 10, 2026

Recorded as AMANDA JACOBSEN, APN, PMHNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2026

Nurse Practitioner (license number reported to NPPES: IL 209035343)

βœ…
NPI Profile Active April 28, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 28, 2025

Registered at 801 VILLA ST, ELGIN, IL 601208001 (Tel: 6308924355)

πŸ“
Business Mailing Address (Initial Record) April 28, 2025

Registered at 801 VILLA ST, ELGIN, IL 601208001

πŸ‘€
Provider Name / Credentials (Initial Record) April 28, 2025

Recorded as AMANDA JACOBSEN, RN, BSN, RNC-OB

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2025

Registered Nurse (license number reported to NPPES: IL 041363348)

🟒
Initial NPI Registration & Enumeration April 28, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134917370
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 28, 2025
Last Update: October 10, 2026
Sole Proprietor: No

Mailing Address

0n597 Fieldstone Ln

Geneva, IL 601343527

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.