Individual provider Active NPI

Jacob Ian Pollina, FNP-C

  • Family Nurse Practitioner
  • Libertyville, IL
National Provider Identifier
1497601017
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F02260882 Issued in IL
Practice address
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone
(847) 362-2900
NPI assigned
Mar 6, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F02260882 IL Primary

Addresses

Primary practice location

801 S Milwaukee Ave
Libertyville, IL 60048-3204

Mailing address

1607 Vine Ave
Round Lake Beach, IL 60073-2231
Phone (224) 814-2517

Other practice location 1

1500 S Milwaukee Ave
Libertyville, IL 60048-3723
Phone (847) 816-3200

Other practice location 2

850 E US Highway 45
Mundelein, IL 60060-4612
Phone (847) 377-7200

Other practice location 3

97 W Phillip Rd
Vernon Hills, IL 60061-1739
Phone (847) 549-6070

Other practice location 4

14595 W Rockland Rd
Libertyville, IL 60048-9700
Phone (847) 450-6180

Other practice location 5

1201 American Way
Libertyville, IL 60048-3935
Phone (847) 371-6500

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501000850 IL Practitioner - Nurse Practitioner 5092283689 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Inpatient Consultants LLCGroup PAC ID 7719989276, 7 clinicians

Practice addresses (Care Compare)

801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 362-2900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F02260882ILMDFamily Nurse Practitioner

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1497601017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 VINE AVE",
            "city": "ROUND LAKE BEACH",
            "state": "IL",
            "postal_code": "600732231",
            "telephone_number": "224-814-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483204",
            "telephone_number": "847-362-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Milwaukee Ave",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483723",
            "country_code": "US",
            "telephone_number": "847-816-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "850 E US Highway 45",
            "address_purpose": "LOCATION",
            "city": "Mundelein",
            "state": "IL",
            "postal_code": "600604612",
            "country_code": "US",
            "telephone_number": "847-377-7200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 W Phillip Rd",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600611739",
            "country_code": "US",
            "telephone_number": "847-549-6070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14595 W Rockland Rd",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600489700",
            "country_code": "US",
            "telephone_number": "847-450-6180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 American Way",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600483935",
            "country_code": "US",
            "telephone_number": "847-371-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLINA",
        "first_name": "JACOB",
        "middle_name": "IAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "F02260882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.