Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda L. Shull, PA-C

Individual provider Physician Assistant · NPI 1962638130

Amanda L. Shull, PA-C is a Physician Assistant in Springfield, Illinois. Qualified in 2009, 17 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
17
Licensed in
IL
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

900 N 1st St
Springfield, IL 62702-3749
Phone: (217) 525-0210
Fax: (217) 525-1007
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 85003463 (IL)

Record details

NPI number1962638130
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 2, 2009
Last updated in NPPESMay 20, 2020
Certification dateMay 20, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Springfield