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

Agnes A. Fenner

Individual provider Family Nurse Practitioner · NPI 1528518602

Agnes A. Fenner is a Nurse Practitioner in Jacksonville, Illinois. Qualified in 2016, 10 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
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Practice location Address checks out

15 Founders Ln
Jacksonville, IL 62650-3919
Phone: (217) 528-7541
Fax: (217) 527-3844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209014954 (IL)

Record details

NPI number1528518602
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2016
Last updated in NPPESJune 18, 2020
Certification dateJune 18, 2020
Mailing address1025 S 6th St, Springfield, IL 62703-2403

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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