Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jesse-Jay Manansala, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1922958792

Jesse-Jay Manansala, PMHNP-BC is a Nurse Practitioner in Beach Park, Illinois. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2026
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

39193 N Stockton Ln
Beach Park, IL 60083-3010
Phone: (847) 505-4215
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209.034904 (IL)

Record details

NPI number1922958792
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedFebruary 2, 2026
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated