Nuvano Preethi Rajan Jayakumar, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209.031382 Issued in IL

Practice address

455 Dunham Rd Ste 100
Saint Charles, IL 60174-1453

Phone

(630) 770-3475

NPI assigned

Jan 17, 2025

Last updated

Jan 17, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

219 Health Network IncGroup PAC ID 0547521452, 70 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: behavioralhealthcareproviders.rajanjayakumar@147503.advancedmd-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 219 Health Network Inc

  • Family Medicine Physician
  • East Chicago, IN
  • NPI 1093213506

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Advance Psychiatry & Counseling, SC.

  • Psychiatry Physician
  • Bloomingdale, IL
  • NPI 1669563789

  Single Specialty

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  IL, Single Specialty

  Medicare reassignment NPD
• Raffa LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Schaumburg, IL
  • NPI 1346164829
  NPD Authorized official
• 219 Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • Munster, IN
  • NPI 1417811738
  NPD
• 219 Health Network, Inc.

  • Federally Qualified Health Center (FQHC)
  • East Chicago, IN
  • NPI 1003410085
  NPD (past)

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1194536250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 CHURCHILL RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953221",
            "telephone_number": "678-772-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 DUNHAM RD STE 100",
            "city": "SAINT CHARLES",
            "state": "IL",
            "postal_code": "601741453",
            "telephone_number": "630-770-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAN JAYAKUMAR",
        "first_name": "NUVANO PREETHI",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.031382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quast DC LTD
• Catherine B. Raack, M.S.
• Jennifer Lynn Rachan
• Rae Counseling & Wellness, PLLC
• Patrick Jeremiah Rafferty, MSW, LSW
• Yesenia Ramirez
• Kaushal Ramkumar, RN, BSN
• Rommel Ram Ramos, PTA
• Randall Medical LLC
• Michael Randall, DPT

• Psychiatric/Mental Health Nurse Practitioner in St Charles, IL
• Providers in St Charles, 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 Jan 17, 2025; 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.