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Active NPI 1689097768 Individual Practitioner Male Practitioner

Dr. Jacob Daniel Wengert , DC, FNP

Nurse Practitioner • Breese, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Wengert, DC, FNP is a certified Nurse Practitioner practicing in Breese, IL. With approximately 6 years of clinical experience since completing medical education in 2020, Dr. Wengert delivers high-quality medical care to the local community at 9515 HOLY CROSS LN STE 175.

Dr. Wengert is affiliated with Hshs Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, triamcinolone acetonide, not otherwise specified, 10 mg, hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg, hyaluronan or derivative, durolane, for intra-articular injection, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9515 Holy Cross Ln Ste 175

Breese, IL 622303618

Telephone 6185268430

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Breese, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -3.5 yrs vs City Avg
City Avg: 9.5 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
13 Specialists

Practicing in Breese, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wengert (6 Years) 6 Yrs
Breese Specialty Average (9.5 Years) 9.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
2,074 119 $7.00 $0.98
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg
1,488 20 $64.00 $8.59
J7318 Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg
844 13 $33.34 $5.44
20610 Aspiration and/or injection of fluid from large joint
250 133 $186.00 $64.14
99213 Established patient office or other outpatient visit, typically 15 minutes
214 155 $178.00 $75.04
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
71 71 $221.00 $93.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
69 54 $251.00 $105.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
50 50 $330.00 $137.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
12 12 $355.00 $149.48

Medical Specialties & State Licenses

CMS Verified: 2023-10-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209023063

(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 - Family

NUCC Taxonomy Code: 363LF0000X

State License IL 209023063

Definition to come...

Hospital & Practice Group Affiliations

Hshs Medical Group Inc

9515 Holy Cross Lane, Breese, IL 622303618

Phone: 6185264511

Secondary Practice Locations

12860 Troxler Ave

Highland, IL 622492898

Phone: 6186415803

17 Ginger Creek Mdws

Glen Carbon, IL 620343508

Phone: 6186569777

108 W Us Highway 40

Troy, IL 622941836

Phone: 6186671800

159 E Mcarthur Dr

Bethalto, IL 620101918

Phone: 6182587504

4804 S State Route 159 Ste 10

Glen Carbon, IL 620341904

Phone: 6183915080

5036 N Illinois St Ste 5

Fairview Heights, IL 622083417

Phone: 6186716800

1103 Belt Line Rd

Collinsville, IL 622344368

Phone: 6183442273

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1083612790

Doctor of Medicine (M.D.)

Dr. Erin Robke , DNP, FNP-BC

Nurse Practitioner - Family

NPI 1245009349

Doctor of Nursing Practice, Family Nurse Practitioner (Board Certified)

NPI 1962660753

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location October 03, 2023

Registered at 9515 HOLY CROSS LN STE 175, BREESE, IL 622303618 (Tel: 6185268430)

📍
Updated Business Mailing Address October 03, 2023

Registered at 9515 HOLY CROSS LN STE 175, BREESE, IL 622303618

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2023

Nurse Practitioner (License #209023063 in IL)

📍
Updated Practice Location July 23, 2021

Registered at 4804 S STATE ROUTE 159 STE 10, GLEN CARBON, IL 620341904 (Tel: 6183915080)

📍
Updated Practice Location May 19, 2021

Registered at 5036 N ILLINOIS ST STE 5, FAIRVIEW HEIGHTS, IL 622083417 (Tel: 6186716800)

📍
Updated Business Mailing Address May 19, 2021

Registered at 3120 BIRMINGHAM DR, GLEN CARBON, IL 620343059

👤
Provider Name / Credentials Updated May 19, 2021

Recorded as JACOB WENGERT, DC, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2021

Nurse Practitioner (License #209023063 in IL)

NPI Profile Active November 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 02, 2016

Registered at 4460 N ILLINOIS ST, SUITE 5, SWANSEA, IL 622261899 (Tel: 6182363738)

📍
Updated Business Mailing Address November 02, 2016

Registered at 4460 N ILLINOIS ST, SUITE 5, SWANSEA, IL 622261899

👤
Provider Name / Credentials Updated November 02, 2016

Recorded as JACOB WENGERT, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 02, 2016

Chiropractor (License #2014001898 in MO)

🟢
Initial NPI Registration & Enumeration January 27, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689097768
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 27, 2014
Last Update: October 03, 2023
Sole Proprietor: No

Mailing Address

9515 Holy Cross Ln Ste 175

Breese, IL 622303618

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.