JACOB M. KITCHENER MD – NPI #1003818733
Psychiatry & Neurology

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

JACOB KITCHENER is a psychiatry & neurologist located in SPRINGFIELD, IL. NPPES has assigned the NPI number 1003818733 to JACOB KITCHENER on August 12, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 4 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2084V0102X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Vascular Neurology

The NPI profile was last updated on Apr 28, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACOB KITCHENER below.

NPI Profile for
JACOB M. KITCHENER

NPI Number
1003818733
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACOB M. KITCHENER
Credentials
MD
Primary location
421 N 9TH ST
SPRINGFIELD, IL 62702
Phone: (217) 757-6868 Fax: (177) 576-8672
4 Other location(s):
3 Saint Elizabeth Blvd
O Fallon, IL 62269-1281
Phone: (618) 641-5803
Fax: (618) 607-5116
301 N 8th St
Springfield, IL 62701-1041
Phone: (217) 528-7541
One Hospital Dr
Columbia, MO 65212-0001
Phone: (573) 882-1515
Fax: (573) 884-0070
30 E Apple St Ste 5254A
Dayton, OH 45409-2939
Phone: (937) 208-4200
Fax: (937) 208-4205
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Apr 28, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084V0102X
- Psychiatry & Neurology / Vascular Neurology (Primary)		 OH 35.086697
2084N0600X
- Psychiatry & Neurology / Clinical Neurophysiology		 OH 35-08-6697-K
2084N0400X
- Psychiatry & Neurology / Neurology		 IL 036111221

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
12266 DEPAUL DR,
BRIDGETON, MO 77025-1669
Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
12266 DEPAUL DR,
BRIDGETON, MO 77025-1669

Additional Information

Education
NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE - Graduated 2000
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACOB KITCHENER is affiliated with the following medical group(s):
  • HOSPITAL
    • SSM ST CLARE HEALTH CENTER
      1015 BOWLES
      FENTON, MO 63026
    • ST JOHNS HOSPITAL
      800 E CARPENTER ST
      SPRINGFIELD, IL 62769

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.