Individual provider Active NPI

Nathan R Jaisingh, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1649228701
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0376062-34 Issued in IL
Practice address
1938 E Lincoln Hwy Ste 207B
New Lenox, IL 60451-3810
Phone
(800) 461-9533
Fax
(708) 478-1302
NPI assigned
May 4, 2006
Last updated
Sep 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041-322947 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9581526 ID
Nurse Practitioner 363L00000X 209-004600 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0376062-34 IL Primary

Addresses

Primary practice location

1938 E Lincoln Hwy Ste 207B
New Lenox, IL 60451-3810

Mailing address

1938 E Lincoln Hwy Ste 207B
New Lenox, IL 60451-3810
Phone (800) 461-9533

Other practice location 1

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 625-4870

Other identifiers 3

IdentifierTypeStateIssuer
P00476630OtherILPALMETTO
726880OtherILASSOCIATION INDIVIDUAL DEVELOPMENT GROUP#
041322947MedicaidIL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050107000424 IL Practitioner - Nurse Practitioner 6406804343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Benchmark Psychiatric Services LTDGroup PAC ID 0648379941, 2 clinicians

Practice addresses (Care Compare)

11231 Distinctive Dr
Orland Park, IL 60467-9458
Phone (800) 461-9533

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041-322947ILMDRegistered Nurse
209-004600ILMDNurse Practitioner
0376062-34ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert M Pasen PHD PC Past Accepting new patients
Neurobehavioral Health Connections, LTD Past Accepting new patients
Conventions Psychiatry & Counseling, P.C. Past Accepting new patients
King Community Mental Health Center Corp PastSince Apr 27, 2009 Accepting new patients
Rockford Psychiatric Medical Services, S.C. PastSince Sep 12, 2022 Accepting new patients
Affiliated Mental Health Professionals PastSince Aug 4, 2015 Accepting new patients
Roueen Rafeyan MD LTD PastSince Oct 28, 2019 Accepting new patients
The McGrath Clinic Past Accepting new patients
The McGrath Clinic S C PastSince Aug 2, 2004 Accepting new patients

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1649228701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY STE 207B",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513810",
            "telephone_number": "800-461-9533",
            "fax_number": "708-478-1302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1938 E LINCOLN HWY STE 207B",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604513810",
            "telephone_number": "800-461-9533",
            "fax_number": "708-478-1302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Kootenai Health Way",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838146051",
            "country_code": "US",
            "telephone_number": "208-625-4870",
            "fax_number": "208-625-4878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAISINGH",
        "first_name": "NATHAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041-322947",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "9581526",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-004600",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "0376062-34",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "P00476630",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATION INDIVIDUAL DEVELOPMENT GROUP#",
            "identifier": "726880",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041322947",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.