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

MS. Jill Louise Cacciabando, APNP

Individual provider Nurse Practitioner · NPI 1356378467

MS. Jill Louise Cacciabando, APNP is a Nurse Practitioner in Saint Louis, Missouri. Graduated from University of Missouri, Columbia School of Medicine in 2005, 21 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, works from 4 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Missouri and Wisconsin.

Years since qualifying
21
Trained at
University of Missouri, Columbia School of Medicine
Licensed in
IL, MO, WI
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

30 Ronnies Plz
Saint Louis, MO 63126-3552
Phone: (314) 989-6807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 8571 Watson Rd, Saint Louis, MO 63119-5218 — (855) 925-4733
  • 420 E Division St, Fond Du Lac, WI 54935-4560 — (314) 989-6807
  • 1821 S Stoughton Rd, Madison, WI 53716-2257 — (314) 989-6807

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 145585 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 11394 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 209005863 (IL)

Record details

NPI number1356378467
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJune 26, 2006
Last updated in NPPESMarch 13, 2025
Certification dateMarch 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

Other providers in Saint Louis