Individual provider Active NPI

Aileen Anne Robitaille, FNP

  • Nurse Practitioner
  • Hinsdale, IL
National Provider Identifier
1760744148
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209009589 Issued in IL
Practice address
908 N Elm St Ste 300
Hinsdale, IL 60521-3625
Phone
(630) 884-5913
Fax
(630) 455-1759
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209.009589 IL
Nurse Practitioner 363L00000X 209009589 IL Primary

Addresses

Primary practice location

908 N Elm St Ste 300
Hinsdale, IL 60521-3625

Mailing address

908 N Elm St Ste 300
Hinsdale, IL 60521-3625
Phone (630) 884-5913

Other practice location 1

2435 Dean St Ste 2E
St Charles, IL 60175-4827
Phone (630) 528-2861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170524001911 IL Practitioner - Nurse Practitioner 6002183985 Reassigns benefits to 1 organization
I20240227001454 AZ Practitioner - Nurse Practitioner 6002183985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Dermatology P L L CGroup PAC ID 7012809726, 12 clinicians

Practice addresses (Care Compare)

2732 N Alvernon Way
Tucson, AZ 85712-1804
Phone (520) 319-1100

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as group
Promoting interoperability
95
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209009589ILMDNurse Practitioner
209.009589ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalskin Medical Group Il PLLC CurrentSince Oct 8, 2023 Accepting new patients

Locations

908 N Elm St
Ste 300
Hinsdale, IL 60521
Phone (630) 455-1756

917 Remington Rd
Mattoon, IL 61938
Phone (217) 205-3376

2435 Dean St
Ste 2E
St Charles, IL 60175
Phone (630) 433-7800

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1760744148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 300",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213625",
            "telephone_number": "630-884-5913",
            "fax_number": "630-455-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N ELM ST STE 300",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213625",
            "telephone_number": "630-884-5913",
            "fax_number": "630-455-1759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2435 Dean St Ste 2E",
            "address_purpose": "LOCATION",
            "city": "St Charles",
            "state": "IL",
            "postal_code": "601754827",
            "country_code": "US",
            "telephone_number": "630-528-2861",
            "fax_number": "630-443-7822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBITAILLE",
        "first_name": "AILEEN",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.009589",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209009589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.