Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Michelle Veronica Jacob, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1033548045

Mrs. Michelle Veronica Jacob, AGNP is a Nurse Practitioner in Belleville, Illinois. Qualified in 2013, 13 years ago. Practices with Washington University Physicians in Illinois Inc, a 167-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2013
What do these letters mean?
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

4500 Memorial Dr Dept Anesthesiology
Belleville, IL 62226-5360
Phone: (800) 862-9980
Fax: (314) 362-7785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209011680 (IL)

Record details

NPI number1033548045
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP
Sole proprietorNo
NPI enumeratedNovember 11, 2013
Last updated in NPPESApril 21, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Washington University Physicians In Illinois Inc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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