Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Lidiya M Jacob , APRN, CNP

Nurse Practitioner โ€ข Palos Heights, IL

Active NPI 1689294258 Individual Practitioner Female Practitioner
Practice location in NPPES

12251 S 80th Ave
Palos Heights, IL 604631290

Call 6302571111 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

12251 S 80th Ave

Palos Heights, IL 604631290

Telephone 6302571111
Fax 6302571115
Organization at the Same NPPES Address or Phone
Palos Emergency Medical Services, Ltd Facility NPI 1811997885

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

NPPES lists 1 additional practice-address record in Frankfort, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

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

Medicare patients

278 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $91,573 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $71,680 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

395 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$4,201 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2020

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, โ€œDoes your provider accept Medicare as full payment?โ€

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)

Lidiya 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 Lidiya 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 Palos Heights and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 75% of clinicians listed under Nurse Practitioner in Palos Heights, IL (2024, 38 clinicians with data). Median for this group: 417. Middle half: 197 to 794.

More Medicare Part B services than 85% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: 261. Middle half: 101 to 526.

Medicare-allowed amount

A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Palos Heights, IL (2024, 38 clinicians with data). Median for this group: $42,079. Middle half: $20,977 to $62,072.

A higher Medicare-allowed amount than 90% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $21,010. Middle half: $8,652 to $42,014.

Paid by Medicare

A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Palos Heights, IL (2024, 38 clinicians with data). Median for this group: $33,299. Middle half: $15,202 to $48,063.

A higher Medicare payment amount than 90% of clinicians listed under Nurse Practitioner in Illinois (2024, 2,561 clinicians with data). Median for this group: $15,151. Middle half: $6,396 to $31,322.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Nurse Practitioner in Palos Heights, IL (2024, 35 clinicians with data). Median for this group: 433. Middle half: 92 to 990.

Close to the middle for clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: 259. Middle half: 80 to 930.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Palos Heights, IL (2024, 35 clinicians with data). Median for this group: $20,714. Middle half: $754 to $108,731.

Close to the middle for clinicians listed under Nurse Practitioner in Illinois (2024, 2,572 clinicians with data). Median for this group: $10,867. Middle half: $976 to $113,945.

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

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

Telehealth indicator in Palos Heights

10.5% of these 57 clinicians have the CMS telehealth indicator.

71.9% of these 57 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2021โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes
739 253 $215.29 $96.68
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more
134 81 $152.00 $67.09
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
69 68 $269.00 $138.09
99315 Nursing facility discharge day management, 30 minutes or less
22 21 $134.00 $73.12

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Escitalopram Oxalate Escitalopram Oxalate 40 590 $382.55 โ€”
Metoprolol Tartrate Metoprolol Tartrate 30 340 $95.26 โ€”
Losartan Potassium Losartan Potassium 29 244 $256.97 โ€”
Allopurinol Allopurinol 25 348 $282.09 โ€”
Oxybutynin Chloride Oxybutynin Chloride 25 348 $129.23 โ€”
Hydralazine Hcl Hydralazine Hcl 25 243 $322.85 โ€”
Furosemide Furosemide 20 643 $147.21 11
Midodrine Hcl Midodrine Hcl 19 356 $532.18 โ€”
Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen 16 106 $194.16 โ€”
Fluticasone Propionate Fluticasone Propionate 16 555 $263.88 โ€”
Levothyroxine Sodium Levothyroxine Sodium 16 256 $96.04 โ€”
Prednisone Prednisone 15 228 $90.85 โ€”
Donepezil Hcl Donepezil Hcl 15 226 $94.22 โ€”
Clopidogrel Clopidogrel Bisulfate 13 361 $355.02 โ€”
Lisinopril Lisinopril 11 77 $21.12 โ€”
Tramadol Hcl Tramadol Hcl 11 78 $78.84 โ€”
Finasteride Finasteride 11 65 $82.15 โ€”
Glimepiride Glimepiride 11 76 $92.46 โ€”
Tamsulosin Hcl Tamsulosin Hcl 11 94 $83.39 โ€”
Trazodone Hcl Trazodone Hcl 11 330 $161.32 โ€”
Ipratropium-Albuterol Ipratropium/Albuterol Sulfate 11 156 $439.47 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-12-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209021213

(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

I20211124001677

Enrollment State Jurisdiction

IL

PECOS Control ID

0244620706

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.

Secondary Practice Locations

20635 Abbey Woods Ct N # S

Frankfort, IL 604233181

Phone: 8154649779

Clinicians Sharing This Practice Address or Phone

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

8 listed
Charlene Bielecki , ANP-BC

Nurse Practitioner - Adult Health

NPI 1770893158

ANPBC

Mary Crean , APRN, CNP

Nurse Practitioner

NPI 1285864256

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Ruthie Gavin , FNP-BC

Registered Nurse - Home Health

NPI 1205393014

Family Nurse Practitioner (Board Certified)

NPI 1942616594

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Ruby Meyer , APRN

Nurse Practitioner - Family

NPI 1730799651

Advanced Practice Registered Nurse

Anu Stephen

Nurse Practitioner

NPI 1558972364

Career & Practice History Timeline

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

10 Historical Events
๐Ÿ“
Updated Practice Location December 30, 2021

Registered at 12251 S 80TH AVE, PALOS HEIGHTS, IL 604631290 (Tel: 6302571111)

๐Ÿ“
Updated Business Mailing Address December 30, 2021

Registered at 12251 S 80TH AVE, PALOS HEIGHTS, IL 604631290 (Tel: 6302571111)

๐Ÿ‘ค
Provider Name / Credentials Updated December 30, 2021

Recorded as LIDIYA JACOB, APRN, CNP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2021

Nurse Practitioner (license number reported to NPPES: IL 209021213)

โœ…
NPI Profile Active April 23, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 23, 2020

Registered at 20635 ABBEY WOODS CT N # S, FRANKFORT, IL 604233181 (Tel: 8154649779)

๐Ÿ“
Business Mailing Address (Initial Record) April 23, 2020

Registered at 16228 RYEHILL CIR, ORLAND PARK, IL 604675392 (Tel: 7738080432)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 23, 2020

Recorded as LIDIYA JACOB

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2020

Nurse Practitioner (license number reported to NPPES: IL 209.021213)

๐ŸŸข
Initial NPI Registration & Enumeration April 23, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1689294258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2020
Last Update: December 30, 2021
Sole Proprietor: No

Other Nurse Practitioners in Palos Heights

All Nurse Practitioners in Palos Heights

Mailing Address

12251 S 80th Ave

Palos Heights, IL 604631290

Phone: 6302571111

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.