Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Jill Louise Cacciabando , APNP

Nurse Practitioner โ€ข Saint Louis, MO

Active NPI 1356378467 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

30 Ronnies Plz
Saint Louis, MO 631263552

Call 3149896807 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

30 Ronnies Plz

Saint Louis, MO 631263552

Telephone 3149896807
Organization at the Same NPPES Address or Phone
Saint Medical Group, Llc Facility NPI 1851971550

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 3 distinct additional practice-address records in Fond Du Lac, WI; Madison, WI; Saint Louis, MO. See the list

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

CMS Doctors and Clinicians lists 5 distinct group names: Agnesian Healthcare Inc; Dean Health Systems Inc; Physician Services Corporation Of Southern Illinois Inc and 2 more. 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

Medical School

University Of Missouri, Columbia School Of Medicine

Graduation Year

2005

Medicare patients

108 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 $8,480 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 $6,079 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

198 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

$6,758 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

Years since graduation

21 years (graduated 2005)

CMS Doctors and Clinicians data list 2005 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

2006

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

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

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)

Jill Cacciabando 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 Jill Cacciabando 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 Saint Louis and Missouri

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Nurse Practitioner in Saint Louis, MO (2024, 214 clinicians with data). Median for this group: 216. Middle half: 87 to 430.

Close to the middle for clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: 231. Middle half: 88 to 493.

Medicare-allowed amount

A lower Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Saint Louis, MO (2024, 214 clinicians with data). Median for this group: $19,253. Middle half: $6,152 to $30,526.

A lower Medicare-allowed amount than 65% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $17,615. Middle half: $6,020 to $35,542.

Paid by Medicare

A lower Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Saint Louis, MO (2024, 214 clinicians with data). Median for this group: $13,682. Middle half: $4,517 to $23,755.

A lower Medicare payment amount than 65% of clinicians listed under Nurse Practitioner in Missouri (2024, 860 clinicians with data). Median for this group: $12,817. Middle half: $4,412 to $26,824.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Nurse Practitioner in Saint Louis, MO (2024, 209 clinicians with data). Median for this group: 189. Middle half: 46 to 885.

Close to the middle for clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: 303. Middle half: 86 to 1,191.

Part D drug cost

Close to the middle for clinicians listed under Nurse Practitioner in Saint Louis, MO (2024, 209 clinicians with data). Median for this group: $9,582. Middle half: $754 to $142,875.

Close to the middle for clinicians listed under Nurse Practitioner in Missouri (2024, 924 clinicians with data). Median for this group: $13,920. Middle half: $1,057 to $134,310.

437 active clinicians are listed under Nurse Practitioner with a practice address in Saint Louis, MO (1,721 in Missouri).

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

Telehealth indicator in Saint Louis

14.2% of these 437 clinicians have the CMS telehealth indicator.

57% of these 437 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 2016โ€“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, 2017โ€“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
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
69 67 $59.00 $57.08
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
54 29 $97.74 $39.01
99458 Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
54 18 $52.44 $31.49
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
20 18 $151.69 $36.74

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
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 43 315 $273.77 42
Fluticasone Propionate Fluticasone Propionate 34 1,043 $282.66 34
Paxlovid Nirmatrelvir/Ritonavir 29 145 $0.00 29
Doxycycline Hyclate Doxycycline Hyclate 22 167 $170.83 22
Prednisone Prednisone 17 92 $27.01 16
Azithromycin Azithromycin 16 80 $55.17 16
Lagevrio (Eua) Molnupiravir 13 65 $5,783.65 13
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 12 54 $36.18 12
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 11 60 $129.12 11

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: 2025-03-13
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MO 145585

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WI 11394

(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.

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES IL 209005863

(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: Missouri Board of Registration for the Healing Arts.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1356378467 (WI)
Medicaid ID
209005863 (IL)

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

I20220323002831

Enrollment State Jurisdiction

OK

PECOS Control ID

7012926678

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

Dean Health Systems Inc

1821 S Stoughton Rd, Madison, WI 537162257

Phone: 6082606000

Ssm Medical Group Inc

1035 Bellevue Ave, Saint Louis, MO 631171843

Phone: 3149254770

Saints Medical Group, Llc

608 Nw 9th St, Oklahoma City, OK 731021068

Phone: 4052313000

Physician Services Corporation Of Southern Illinois Inc

602 S 42nd St, Mount Vernon, IL 628646264

Phone: 6188993777

Ssm Medical Group Inc

30 Ronnies Plz, Saint Louis, MO 631263552

Phone: 3147485800

Agnesian Healthcare Inc

420 E Division St, Fond Du Lac, WI 549354560

Phone: 9209237400

Secondary Practice Locations

8571 Watson Rd

Saint Louis, MO 631195218

Phone: 8559254733

1821 S Stoughton Rd

Madison, WI 537162257

Phone: 3149896807

420 E Division St

Fond Du Lac, WI 549354560

Phone: 3149896807

Clinicians Sharing This Practice Address or Phone

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

3 listed
Amanda Gordon , FNP

Nurse Practitioner

NPI 1780103143

Family Nurse Practitioner

Kristin Grossman , FNP-C

Nurse Practitioner

NPI 1861884264

Family Nurse Practitioner (Certified)

Katie Haas , FNP-BC

Nurse Practitioner - Family

NPI 1912558446

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

14 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2025

Nurse Practitioner (license number reported to NPPES: WI 11394)

๐Ÿ‘ค
Provider Name / Credentials Updated November 22, 2022

Recorded as JILL CACCIABANDO, APNP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2021

Family Medicine (license number reported to NPPES: IL 209005863)

๐Ÿ“
Updated Practice Location September 07, 2021

Registered at 30 RONNIES PLZ, SAINT LOUIS, MO 631263552 (Tel: 3149896807)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2021

Nurse Practitioner (license number reported to NPPES: MO 145585)

๐Ÿ“
Updated Business Mailing Address October 20, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955218

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2020

Family Medicine (license number reported to NPPES: IL 41349641)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 06, 2018

Family Medicine (license number reported to NPPES: IL 209005863)

โœ…
NPI Profile Active April 19, 2016

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) April 19, 2016

Registered at 8571 WATSON RD, SAINT LOUIS, MO 631195218 (Tel: 8559254733)

๐Ÿ“
Business Mailing Address (Initial Record) April 19, 2016

Registered at 8571 WATSON RD, SAINT LOUIS, MO 631195218 (Tel: 8559254733)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) April 19, 2016

Recorded as JILL CACCIABANDO

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2016

Family Medicine (license number reported to NPPES: IL 41349641)

๐ŸŸข
Initial NPI Registration & Enumeration June 26, 2006

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1356378467
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2006
Last Update: March 13, 2025
Sole Proprietor: No

Other Nurse Practitioners in Saint Louis

All Nurse Practitioners in Saint Louis

Mailing Address

Po Box 955534

Saint Louis, MO 631955218

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.