Jacob Lennert, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036.168794 Issued in IL

Practice address

2200 State St
Lawrenceville, IL 62439-1852

Phone

(618) 270-4853

NPI assigned

Mar 24, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Toledo College of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lawrence County Memorial HospitalGroup PAC ID 7517144249, shared by 4 NPIs, 33 clinicians

Lawrence County Memorial HospitalGroup PAC ID 1850288481, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Good Samaritan Home Care Services Home health agency, Lawrenceville, IL, CCN 148377
• Lawrence County Memorial Hospital Hospital, Lawrenceville, IL, CCN 141344
• Good Samaritan Hospital Hospital, Vincennes, IN, CCN 150042
• Lawrence County Memorial Hospital Nursing home, CCN 14Z344

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lawrence County Memorial Hospital

  • Critical Access Hospital
  • Lawrenceville, IL
  • NPI 1396024162
  Medicare reassignment NPD
• Lawrence County Memorial Hospital

  • Critical Access Hospital
  • Lawrenceville, IL
  • NPI 1881643401
  Medicare reassignment NPD
• Lawrence County Memorial Hospital

  • Rural Health Clinic/Center
  • Lawrenceville, IL
  • NPI 1811183692
  NPD
• Associated Pathologists, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Nashville, TN
  • NPI 1003863580
  NPD
• Florida Clinical Practice Association Inc

  • Surgery Physician
  • Gainesville, FL
  • NPI 1063463768

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Good Samaritan Home Care Services of Vincennes, in, LLC

  • Home Health Agency
  • Lawrenceville, IL
  • NPI 1154986669
  Care Compare affiliation
• Lawrence County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lawrenceville, IL
  • NPI 1366550055

  Nursing home

  Care Compare affiliation
• Lawrence County Memorial Hospital

  • Critical Access Hospital
  • Lawrenceville, IL
  • NPI 1881643401
  Care Compare affiliation
• Good Samaritan Hospital

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Vincennes, IN
  • NPI 1073153474

  Hospital

  Care Compare affiliation
• Good Samaritan Hospital

  • General Acute Care Hospital
  • Vincennes, IN
  • NPI 1225032881
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1164009593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391852",
            "telephone_number": "618-943-1000",
            "fax_number": "618-943-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 STATE ST",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624391852",
            "telephone_number": "618-270-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENNERT",
        "first_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.168794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawrence County Memorial Hospital
• Lawrence County Memorial Hospital
• Lawrence County Memorial Hospital
• Lawrence County Memorial Hospital
• Lawrence County Rule Health Clinic
• Audrey Diane Linder, PHARMD
• Katelynn Littlejohn
• Cynthia Lockley
• Zach Manley
• Christan Manning

• Family Medicine Physician in Lawrenceville, IL
• Providers in Lawrenceville, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.