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JESSE-JAY MANANSALA PMHNP-BC
NPI 1922958792
Nurse Practitioner - Psychiatric/Mental Health in Beach Park, IL

Active since February 02, 2026PECOS Enrolled
39193 N STOCKTON LN, BEACH PARK, IL 60083(847) 505-4215 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jesse-jay Manansala Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSE-JAY MANANSALA PMHNP-BC (NPI 1922958792) is an individual psychiatric/mental health provider in Beach Park, Illinois, licensed in Illinois (209.034904) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922958792
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJESSE-JAY MANANSALACredential: PMHNP-BC
Location Address39193 N STOCKTON LNBeach Park, IL 60083-3010
Mailing Address39193 N Stockton LnBeach Park, IL 60083-3010 · (847) 505-4215
Phone(847) 505-4215
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 2, 2026
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
✔ NPI 1922958792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.034904
39193 N STOCKTON LN, Beach Park, IL 60083
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jesse-jay Manansala Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608346481
PECOS Enrollment IDI20260522000496
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jesse-jay Manansala reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Signify Health Medical Associates, PLLC
818 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Illinois enrollment
  • 712 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jesse-jay Manansala's NPI number?

The NPI number for Jesse-jay Manansala is 1922958792. It was assigned to this individual provider in the NPPES registry on February 2, 2026.

Where is Jesse-jay Manansala located?

Jesse-jay Manansala practices at 39193 N Stockton Ln, Beach Park, IL 60083. The listed phone number is (847) 505-4215.

What is Jesse-jay Manansala's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jesse-jay Manansala enrolled in Medicare?

Yes. Jesse-jay Manansala is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jesse-jay Manansala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jesse-jay Manansala reassigns Medicare benefits to Signify Health Medical Associates, PLLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jesse-jay Manansala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jesse-jay Manansala was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.