Individual provider Active NPI

Robert Ilagan St Jean, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Las Vegas, NV
National Provider Identifier
1568287555
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
827833 Issued in NV
Practice address
9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425
Phone
(702) 521-4797
NPI assigned
Nov 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 827833 NV Primary

Addresses

Primary practice location

9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425

Mailing address

9205 W Russell Rd Ste 240
Las Vegas, NV 89148-1425
Phone (702) 521-4797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
827833NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Point Behavioral Health LLP Psychiatric/Mental Health Current Accepting new patients

Locations

9205 W Russell Rd
Ste 240
Las Vegas, NV 89148
Phone (702) 430-7801

Organizations & group practices 1

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": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1568287555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9205 W RUSSELL RD STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481425",
            "telephone_number": "702-521-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9205 W RUSSELL RD STE 240",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481425",
            "telephone_number": "702-521-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JEAN",
        "first_name": "ROBERT",
        "middle_name": "ILAGAN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-11-15",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "827833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.