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Jaimy Jacob , APN-CNP

Nurse Practitioner β€’ Evanston, IL

Active NPI 1942026943 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

2650 Ridge Ave
Evanston, IL 602011700

Call 8475072438 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

2650 Ridge Ave

Evanston, IL 602011700

Telephone 8475072438
Organization at the Same NPPES Address or Phone
Endeavor Health Clinical Operations Facility NPI 1184670549

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

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Endeavor Health Medical Group. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2024

Industry payments (Open Payments)

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

Guide: How to read an Open Payments record

Years since graduation

2 years (graduated 2024)

CMS Doctors and Clinicians data list 2024 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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

Enrolled in Medicare (PECOS)

Jaimy Jacob has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jaimy Jacob as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Evanston and Illinois

139 active clinicians are listed under Nurse Practitioner with a practice address in Evanston, IL (4,894 in Illinois).

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

Telehealth indicator in Evanston

21.6% of these 139 clinicians have the CMS telehealth indicator.

71.9% of these 139 clinicians are listed by CMS as accepting Medicare assignment.

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: 2024-12-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209030807

(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.

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

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20241231002609

Enrollment State Jurisdiction

IL

PECOS Control ID

4587191655

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Endeavor Health Medical Group

757 Park Ave W, Highland Park, IL 600352558

Endeavor Health Medical Group

2650 Ridge Ave, Evanston, IL 602011700

Endeavor Health Medical Group

2100 Pfingsten Rd, Glenview, IL 600261301

Endeavor Health Medical Group

777 Park Ave W, Highland Park, IL 600352433

Clinicians Sharing This Practice Address or Phone

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

40 listed
Dr. Kyle Ackerman , MD

Emergency Medicine

NPI 1477170199

Doctor of Medicine (M.D.)

Dr. Isaac Agboola , MD

Emergency Medicine

NPI 1073018289

Doctor of Medicine (M.D.)

Dr. Meghana Agni , MD

Pathology - Dermatopathology

NPI 1417419243

Doctor of Medicine (M.D.)

Elizabeth Ahlgrimm , PA-C

Physician Assistant - Surgical

NPI 1518376680

Physician Assistant (Certified)

Dr. Alex Alanis , MD

Emergency Medicine

NPI 1326533662

Doctor of Medicine (M.D.)

NPI 1154508547

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
πŸ‘€
Provider Name / Credentials Updated December 24, 2024

Recorded as JAIMY JACOB, APN-CNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 24, 2024

Nurse Practitioner (license number reported to NPPES: IL 209030807)

βœ…
NPI Profile Active November 25, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 25, 2024

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475072438)

πŸ“
Business Mailing Address (Initial Record) November 25, 2024

Registered at 2650 RIDGE AVE, EVANSTON, IL 602011700 (Tel: 8475072438)

πŸ‘€
Provider Name / Credentials (Initial Record) November 25, 2024

Recorded as JAIMY JACOB

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2024

Nurse Practitioner (license number reported to NPPES: IL 209.030807)

🟒
Initial NPI Registration & Enumeration November 25, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1942026943
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 25, 2024
Last Update: December 24, 2024
Sole Proprietor: No

Other Nurse Practitioners in Evanston

All Nurse Practitioners in Evanston

Mailing Address

2650 Ridge Ave

Evanston, IL 602011700

Phone: 8475072438

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.