Active NPI
Elaine Marie Papineau, APN CNS
- Adult Health Clinical Nurse Specialist
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Clinical Nurse Specialist
- License
- 209002936
- Practice address
- 401 N Wall St Ste 206
Kankakee, IL 60901 - Phone
- (815) 935-7260
- Fax
- (815) 936-7378
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 209-002936 | IL | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 209002936 | IL | Primary |
Addresses
Primary practice location
401 N Wall St Ste 206
Kankakee, IL 60901
Mailing address
401 N Wall St Ste 206
Kankakee, IL 60901-2949
Phone (815) 935-7260
Other practice location 1
840 South wood Street
UIC, Division of Vascular Surgery
Chicago, IL 60612
Phone (312) 996-8459
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | epapineau24417@Direct.riversidehealthcare.net | Direct |
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
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 N Wall St
Suite 206
Kankakee, IL 60901-2949
Phone (815) 937-2044
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209-002936 | IL | MD | Clinical Nurse Specialist |
| 209002936 | IL | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
300 Riverside Dr
Ste 2100
Bourbonnais, IL 60914
Phone (815) 928-9666
840 S Wood St
Chicago, IL 60612
Phone (312) 996-6043
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
401 N Wall St
Ste 206
Kankakee, IL 60901
Phone (815) 935-7260
500 N Wall St
Ste C200
Kankakee, IL 60901
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Interoperability endpoints
- epapineau24417@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Kankakee, IL
- NPI 1417061193
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kankakee, IL
- NPI 1538208210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616976000000",
"number": "1417967589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N WALL ST STE 206",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609012949",
"telephone_number": "815-935-7260",
"fax_number": "815-936-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N WALL ST STE 206",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "60901",
"telephone_number": "815-935-7260",
"fax_number": "815-936-7378"
}
],
"practiceLocations": [
{
"address_1": "840 South wood Street",
"address_2": "UIC, Division of Vascular Surgery",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "60612",
"country_code": "US",
"telephone_number": "312-996-8459",
"fax_number": "312-996-2704",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAPINEAU",
"first_name": "ELAINE",
"middle_name": "MARIE",
"credential": "APN CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2021-03-29",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IL",
"license": "209-002936",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "IL",
"license": "209002936",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "epapineau24417@Direct.riversidehealthcare.net",
"affiliation": "N",
"endpointDescription": "Direct, Secure address",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "401 N Wall St Ste 206",
"city": "Kankakee",
"state": "IL",
"country_code": "US",
"postal_code": "60901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.