Individual provider Active NPI

Elana Marisa Kaya-Jenkins, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Miami, FL
National Provider Identifier
1396327409
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11013792 Issued in FL
Practice address
390 NE 191St St Ste 8333
Miami, FL 33179-3899
Phone
(561) 730-2457
NPI assigned
Apr 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9369290 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11013792 FL Primary

Addresses

Primary practice location

390 NE 191St St Ste 8333
Miami, FL 33179-3899

Mailing address

390 NE 191St St
Miami, FL 33179-3899
Phone (561) 946-4293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR, OH, IL, VA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20211215000564 FL Practitioner - Nurse Practitioner 6800287400 Reassigns benefits to 1 organization
I20231220002569 OR Practitioner - Nurse Practitioner 6800287400 Reassigns benefits to 1 organization
I20250825002776 OH Practitioner - Nurse Practitioner 6800287400 Reassigns benefits to 1 organization
I20250915003910 IL Practitioner - Nurse Practitioner 6800287400 Reassigns benefits to 1 organization
I20250920000324 VA Practitioner - Nurse Practitioner 6800287400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 N Wabash Ave
Suite 3261
Chicago, IL 60602-2060

57 W 58TH St Apt
9C
New York, NY 10019-1610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN9369290FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sway Behavioral Healthcare P.C. CurrentSince Aug 1, 2025 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Nov 15, 2023 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Nov 15, 2023 Accepting new patients
New Horizons of the Treasure Coast Inc CurrentSince Dec 3, 2021 Accepting new patients
Northwest Medical Foundation of Tillamook Current Accepting new patients
Lbee Health Practice Group PLLC CurrentSince Jan 5, 2025 Accepting new patients

Locations

4500 W Midway Rd
Fort Pierce, FL 34981
Phone (561) 468-5600

390 NE 191st St
Ste 8333
Miami, FL 33179
Phone (561) 730-2398

111 N Wabash Ave
Ste 100
Chicago, IL 60602
Phone (312) 219-1597

111 N Wabash Ave
#3261
Chicago, IL 60602
Phone (312) 278-1859

111 N Wabash Ave
Chicago, IL 60602
Phone (248) 704-5837

3296 Westerville Rd
#1044
Columbus, OH 43224
Phone (312) 278-1859

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1100 3rd St
Tillamook, OR 97141
Phone (503) 815-2116

1000 3rd St
Tillamook, OR 97141
Phone (503) 251-6129

701 E Franklin St
Richmond, VA 23219
Phone (276) 207-9004

Organizations & group practices 6

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": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1396327409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NE 191ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "telephone_number": "561-946-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 NE 191ST ST STE 8333",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "telephone_number": "561-730-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYA-JENKINS",
        "first_name": "ELANA",
        "middle_name": "MARISA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9369290",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11013792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.