Individual provider Active NPI

Elaine Marie Papineau, APN CNS

  • Adult Health Clinical Nurse Specialist
  • Kankakee, IL
National Provider Identifier
1417967589
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
209002936 Issued in IL
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

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040701001487 IL Practitioner - Certified Clinical Nurse Specialist (CNS) 1951388420 Reassigns benefits to 2 organizations

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
Riverside Health SystemGroup PAC ID 3274434717, 202 clinicians

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

LicenseStateTypeSpecialty
209-002936ILMDClinical Nurse Specialist
209002936ILMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Health System CurrentSince Jul 2, 2018 Accepting new patients
Riverside Health System CurrentSince Jul 2, 2018 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.