Betsy Jacob, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277001175 Issued in IL

Practice address

1 Tiffany PT Ste 203
Bloomingdale, IL 60108-2916

Phone

(630) 828-6821

Fax

(727) 473-3368

NPI assigned

Oct 11, 2007

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: betsy.jacob.1@30520.direct.athenahealth.com

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.

• Right Balanced Living

  • Family Nurse Practitioner
  • Bloomingdale, IL
  • NPI 1649968058
  NPD Authorized official
• Paragon Clinical Midwest, LLC

  • Nurse Practitioner
  • Merrillville, IN
  • NPI 1619335700
  NPD (past)

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1366630642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT STE 203",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082916",
            "telephone_number": "630-828-6821",
            "fax_number": "727-473-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TIFFANY PT STE 203",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082916",
            "telephone_number": "630-828-6821",
            "fax_number": "727-473-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "BETSY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-11",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J2SB LLC
• Jabri Medical LTD.
• Mohamed N. Jabri, M.D.
• Mustafa Jabri
• Agnieszka Jackson
• Susan Jacob, M.C.
• Jaffery Eyecare
• Syed Jaffery
• Nicole Marie Jano, PA-C
• Gregory M Jansyn, DPM

• Family Nurse Practitioner in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.