Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Louis Muckerman, FNPBC

Individual provider Family Nurse Practitioner · NPI 1275880429

Jacob Louis Muckerman, FNPBC is a Nurse Practitioner in Cape Girardeau, Missouri. Qualified in 2012, 14 years ago. Practices with Health Facilities Rehab Services Inc, a 149-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2012
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Practice location Address checks out

1723 Broadway St Ste 410
Cape Girardeau, MO 63701-4566
Phone: (573) 339-1957
Fax: (573) 339-9709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2012027450 (MO)

Record details

NPI number1275880429
Entity typeIndividual (Type 1)
GenderMale
Credentials FNPBC
Sole proprietorNo
NPI enumeratedAugust 7, 2012
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Health Facilities Rehab Services Inc — 149 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Cape Girardeau