CAROL ILMA JACOBS NP
NPI 1255354064
Nurse Practitioner - Adult Health in Cleveland, WI
NPI Status: Active since July 25, 2006
Contact Information
1205 NORTH AVE
CLEVELAND, WI
ZIP 53015
Phone: (920) 693-5600
Fax: (920) 693-5604
- Individual
- Female
- Nurse Practitioner
- Adult Health
About CAROL JACOBS
This page provides the complete NPI Profile along with additional information for Carol Jacobs, a provider established in Cleveland, Wisconsin with a medical specialization in Nurse Practitioner, focusing in adult health . The healthcare provider is registered in the NPI registry with number 1255354064 assigned on July 2006. The practitioner's primary taxonomy code is 363LA2200X with license number 137 (WI). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1255354064
- Provider Name
- CAROL ILMA JACOBS NP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1205 NORTH AVE CLEVELAND, WI 53015
- Location Phone
- (920) 693-5600
- Location Fax
- (920) 693-5604
- Mailing Address
- 1274 MEADOWBROOK DRIVE CLEVELAND, WI 53015
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-25-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A nurse practitioner (NP) like Carol Jacobs is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 137
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| S56307 | MEDICARE UPIN (02) | WI |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 3 | 5 | 4 | 0 | 6 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 5 | 8 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 5 + 8 + 0 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1255354064 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 17 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1073542106 | DORIS MISIAK LMSW Individual | Social Worker (Clinical) | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5600 |
| 1558387902 | BENJAMIN ROBERT D'ANGELO PH.D. Individual | Psychologist (Clinical) | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5600 |
| 1164441440 | DR. GURMEET SINGH BHATIA M.D. Individual | Internal Medicine | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5600 |
| 1891715884 | MR. MICHAEL JAMES SHERIDAN R.N. Individual | Registered Nurse | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5609 |
| 1841210150 | DR. JOHN RICHARD REISKYTL MD Individual | Family Medicine | 1205 NORTH AVE CLEVELAND VA CBOC CLEVELAND, WI 53015 (920) 693-5600 |
| 1912927872 | MRS. KAREN R BALKE RN Individual | Registered Nurse | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5606 |
| 1881614683 | MRS. AGNES E DEEHR LPN Individual | Licensed Practical Nurse | 1205 NORTH AVE CLEVELAND, WI 53015 (188) 846-9661 |
| 1417961590 | MRS. JAMIE LAUREN OLSEN RD Individual | Dietitian, Registered | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5600 |
| 1013010024 | MRS. AMY SUE MCKENZIE MSW LCSW SAC Individual | Social Worker (Clinical) | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5600 |
| 1841496486 | MRS. CHARLENE MAE BAUMGARTNER RN Individual | Registered Nurse | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 639-5611 |
| 1184860124 | MRS. CARRIE LYNNE OAKLEY REGISTERED NURSE Individual | Registered Nurse | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5606 |
| 1760807259 | MR. NATHAN NITKA RD, CD Individual | Dietitian, Registered | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5600 |
| 1295060275 | MR. TAO LEE NP Individual | Nurse Practitioner (Adult Health) | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5600 |
| 1063439966 | CLEVELAND VA CBOC Organization | Licensed Practical Nurse | 1205 NORTH AVE CLEVELAND, WI 53015 (188) 846-9661 |
| 1154337558 | CLEVELAND VA CBOC Organization | Clinic/Center | 1205 NORTH AVE CLEVELAND, WI 53015 (188) 469-6614 |
| 1609828748 | MILWAUKEE VAMC Organization | Clinic/Center (VA) | 1205 NORTH AVE CLEVELAND, WI 53015 (608) 821-7200 |
| 1790476463 | LATREACE HOPE LAACK MSW, APSW Individual | Social Worker (Clinical) | 1205 NORTH AVE CLEVELAND, WI 53015 (920) 693-5600 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255354064, enumerated in the NPI registry as an "individual" on July 25, 2006
The provider is located at 1205 North Ave Cleveland, Wi 53015 and the phone number is (920) 693-5600
The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 25, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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