Active NPI
Miranda Sirvinskas, NP
- Nurse Practitioner
- Bourbonnais, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209026149
- Practice address
- 400 Riverside Dr Ste 2100
Bourbonnais, IL 60914-5004 - Phone
- (815) 935-2784
- NPI assigned
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209026149 | IL | Primary |
Addresses
Primary practice location
400 Riverside Dr Ste 2100
Bourbonnais, IL 60914-5004
Mailing address
400 Riverside Dr Ste 2100
Bourbonnais, IL 60914-5004
Phone (815) 935-2784
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210
400 Riverside Dr
Suite 2800
Bourbonnais, IL 60914-5004
Phone (815) 935-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209026149 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Midwest Express Care 2, Inc | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients |
Locations
300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666
400 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 935-2784
2070 N State Route 50
Ste 500
Bourbonnais, IL 60914
Phone (779) 236-4094
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
40 75th St
Willowbrook, IL 60527
Phone (630) 326-5312
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Interoperability endpoints
- msirvinska47123@direct.riversidehealthcare.net
Organizations & group practices 4
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.
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Urgent Care Clinic/Center
- Willowbrook, IL
- NPI 1548692890
-
- Urgent Care Clinic/Center
- Chicago, IL
- NPI 1659952554
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
-
- Home Health Agency
- Peotone, IL
- NPI 1740346451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1083336861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 RIVERSIDE DR STE 2100",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609145004",
"telephone_number": "815-935-2784",
"fax_number": "815-935-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 RIVERSIDE DR STE 2100",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609145004",
"telephone_number": "815-935-2784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIRVINSKAS",
"first_name": "MIRANDA",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209026149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.