Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689294258 Individual Practitioner Female Practitioner

Lidiya M Jacob , APRN, CNP

Nurse Practitioner • Palos Heights, IL

Professional Overview & Biography Verified Profile Summary

Lidiya Jacob, APRN, CNP is a registered healthcare professional specializing in Nurse Practitioner in Palos Heights, IL. Practice services are available at 12251 S 80TH AVE under active NPI credentials.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12251 S 80th Ave

Palos Heights, IL 604631290

Telephone 6302571111
Fax 6302571115
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Palos Heights, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
58 Specialists

Practicing in Palos Heights, IL (4929 Statewide)

Telehealth Adoption Rate
10.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
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, at least 15 minutes
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

Medical Specialties & State Licenses

CMS Verified: 2021-12-30
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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.

Secondary Practice Locations

20635 Abbey Woods Ct N # S

Frankfort, IL 604233181

Phone: 8154649779

Practice Associates & Co-Workers

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

10 Associated Practitioners
Ruthie Gavin , FNP-BC

Registered Nurse - Home Health

NPI 1205393014

Family Nurse Practitioner (Board Certified)

Mary Crean , APRN, CNP

Nurse Practitioner

NPI 1285864256

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Christina Serdar , FNP-BC

Nurse Practitioner - Family

NPI 1407042237

Family Nurse Practitioner (Board Certified)

Jennifer Vankempen , NP-C

Nurse Practitioner - Family

NPI 1487140380

Nurse Practitioner (Certified)

Anu Stephen

Nurse Practitioner

NPI 1558972364
Maria Tarala , APRN, CNP

Nurse Practitioner

NPI 1609332188

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 30, 2021

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

📍
Updated Business Mailing Address December 30, 2021

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

👤
Provider Name / Credentials Updated December 30, 2021

Recorded as LIDIYA JACOB, APRN, CNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2021

Nurse Practitioner (License #209021213 in IL)

NPI Profile Active April 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2020

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

📍
Updated Business Mailing Address April 23, 2020

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

👤
Provider Name / Credentials Updated April 23, 2020

Recorded as LIDIYA JACOB

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2020

Nurse Practitioner (License #209.021213 in IL)

🟢
Initial NPI Registration & Enumeration April 23, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Lidiya Jacob. Be the first to share your experience!

Sign in to leave a review for Lidiya Jacob

Only verified registered users can submit ratings, post feedback, and upload facility photos.

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

Mailing Address

12251 S 80th Ave

Palos Heights, IL 604631290

Phone: 6302571111

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.