Individual Healthcare Provider
Jacob Daniel Wengert, DC, FNP
Provider's NPPES record last updated: October 3, 2023
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1689097768
- Primary Specialty
- Nurse Practitioner
- Practice Location
- Breese, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 4:44 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Taxonomy code 363L00000X Nurse Practitioner
Family
Physician Assistants & Advanced Practice Nursing Providers
Definition to come...
Taxonomy code 363LF0000X
Provider-Reported License Information
- Nurse Practitioner (Illinois)
- 209023063
- Nurse Practitioner (Illinois)
- 209023063
Practice Locations
Practice Location
9515 Holy Cross Ln Ste 175
Breese, Illinois 62230-3618
Phone: (618) 526-8430
Additional Practice Location
12860 Troxler Ave
Highland, Illinois 62249-2898
Phone: (618) 641-5803
Additional Practice Location
17 Ginger Creek Mdws
Glen Carbon, Illinois 62034-3508
Phone: (618) 656-9777
Fax: (618) 656-1249
Additional Practice Location
108 W US Highway 40
Troy, Illinois 62294-1836
Phone: (618) 667-1800
Fax: (618) 667-1802
Additional Practice Location
159 E Mcarthur Dr
Bethalto, Illinois 62010-1918
Phone: (618) 258-7504
Additional Practice Location
4804 S State Route 159 Ste 10
Glen Carbon, Illinois 62034-1904
Phone: (618) 391-5080
Fax: (618) 205-3569
Additional Practice Location
5036 N Illinois St Ste 5
Fairview Heights, Illinois 62208-3417
Phone: (618) 671-6800
Additional Practice Location
1103 Belt Line Rd
Collinsville, Illinois 62234-4368
Phone: (618) 344-2273
Fax: (618) 344-3034
Record Information
- Enumeration Date
- January 27, 2014
- Provider's NPPES Record Last Updated
- October 3, 2023
- Certification Date
- October 3, 2023
- NPISignal NPPES Dataset
- August 2026
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