Jaya Robert Luis, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

277.004785 Issued in IL

Practice address

783 Waterside Dr
South Elgin, IL 60177-3718

Phone

(847) 909-3196

NPI assigned

Apr 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jaya Robert James Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hansa Medical Groupe PLLCGroup PAC ID 5092881417, 40 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts, Nurse Practitioner

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.

• Hansa Medical Groupe PLLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1386804615
  Medicare reassignment Care Compare group NPD
• Ohr Health and Wellness Incorporated

  • Psychiatric/Mental Health Nurse Practitioner
  • South Elgin, IL
  • NPI 1851107007
  Medicare reassignment NPD Authorized official
• Edgewood Clinical Services, P.C.

  • Psychologist
  • Naperville, IL
  • NPI 1295914646

  Psychiatric/Mental Health

  Medicare reassignment NPD
• Hansamssp LLC

  • Internal Medicine Physician
  • Skokie, IL
  • NPI 1013700541
  Medicare reassignment NPD
• Ny Long-Term Care Physician Services, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Uniondale, NY
  • NPI 1477121549

  IL

  Medicare reassignment
• Hyong Kim MD Service Corporation

  • General Practice Physician
  • Champaign, IL
  • NPI 1528749066
  NPD
• Psychology Specialists LTD

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1053368605
  NPD (past)

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

{
    "created_epoch": "1682035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1144917899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "783 WATERSIDE DR",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773718",
            "telephone_number": "847-909-3196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 WATERSIDE DR",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601773718",
            "telephone_number": "847-909-3196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUIS",
        "first_name": "JAYA",
        "middle_name": "ROBERT",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-21",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277.004785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYA",
            "last_name": "JAMES",
            "middle_name": "ROBERT",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in South Elgin, IL
• Providers in South Elgin, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.