Active NPI 1356378467 Individual Practitioner Female Practitioner

Jill Louise Cacciabando , APNP

Nurse Practitioner • Saint Louis, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Jill Cacciabando, APNP is a certified Nurse Practitioner practicing in Saint Louis, MO. With approximately 21 years of clinical experience since graduating from University Of Missouri, Columbia School Of Medicine in 2005, Jill Cacciabando delivers high-quality medical care to the local community at 30 RONNIES PLZ.

Jill Cacciabando maintains professional affiliations with Ssm Medical Group Inc, Agnesian Healthcare Inc, Dean Health Systems Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver;, management using the results of remote vital sign monitoring per calendar month, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

30 Ronnies Plz

Saint Louis, MO 631263552

Telephone 3149896807

Associated Practice Facility / Clinic

🏢 Saint Medical Group, Llc Facility NPI 1851971550

Medicare Profile & Education

Medical School

University Of Missouri, Columbia School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Louis, MO

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +9.4 yrs vs City Avg

City Avg: 11.6 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

442 Specialists

Practicing in Saint Louis, MO (1750 Statewide)

Telehealth Adoption Rate

14.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

54.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cacciabando (21 Years) 21 Yrs

Saint Louis Specialty Average (11.6 Years) 11.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	69	67	$59.00	$57.08
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	54	18	$52.44	$31.48
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	54	29	$97.74	$39.01
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

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	58	58	$63.24	$57.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	26	25	$59.00	$58.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	28	26	$135.50	$73.44
99202 New patient office or other outpatient visit, typically 20 minutes	13	13	$160.38	$61.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
90662 Influenza vaccine split virus, preservative free	47	47	$78.00	$60.72
G0008 Administration of influenza virus vaccine	46	46	$43.00	$16.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	16	$218.00	$91.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$220.00	$91.03
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$148.00	$63.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	46	40	$172.65	$91.96
G0008 Administration of influenza virus vaccine	46	46	$36.48	$16.20
90662 Influenza vaccine split virus, preservative free	43	43	$72.79	$54.89
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$109.36	$62.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$192.86	$91.68
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$32.57	$16.20
69210 Removal of impacted ear wax	12	12	$97.50	$40.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$150.00	$90.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	31	$148.00	$88.27
G0008 Administration of influenza virus vaccine	30	29	$33.00	$19.90
90662 Influenza vaccine split virus, preservative free	28	27	$60.00	$52.15
86580 Skin test for tuberculosis	18	17	$20.00	$7.86
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$101.00	$61.21
81003 Automated urinalysis test	14	12	$12.00	$2.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	37	37	$33.00	$24.52
90662 Influenza vaccine split virus, preservative free	35	35	$60.00	$47.87
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$101.00	$60.96
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$103.00	$62.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$150.00	$90.28
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$30.00	$16.11

Medical Specialties & State Licenses

CMS Verified: 2025-03-13

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License 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

State License WI 11394

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 209005863

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1356378467 (WI)

Medicaid State Provider ID

209005863 (IL)

Hospital & Practice Group Affiliations

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

Practice Associates & Co-Workers

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

3 Associated Practitioners

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

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

14 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2025

Nurse Practitioner (License #11394 in WI)

👤

Provider Name / Credentials Updated November 22, 2022

Recorded as JILL CACCIABANDO, APNP

🎓

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

Family Medicine (License #209005863 in IL)

📍

Updated Practice Location September 07, 2021

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

🎓

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

Nurse Practitioner (License #145585 in MO)

📍

Updated Business Mailing Address October 20, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955218

🎓

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

Family Medicine (License #41349641 in IL)

🎓

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

Family Medicine (License #209005863 in IL)

✅

NPI Profile Active April 19, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 19, 2016

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

📍

Updated Business Mailing Address April 19, 2016

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

👤

Provider Name / Credentials Updated April 19, 2016

Recorded as JILL CACCIABANDO

🎓

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

Family Medicine (License #41349641 in IL)

🟢

Initial NPI Registration & Enumeration June 26, 2006

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: 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

Update or Correct Profile

Mailing Address

Po Box 955534

Saint Louis, MO 631955218

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.