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

Amanda Leigh Ruyle-Ryan, GNP

Individual provider Gerontology Nurse Practitioner · NPI 1295361533

Amanda Leigh Ruyle-Ryan, GNP is a Nurse Practitioner in Springfield, Illinois. Qualified in 2019, 7 years ago. Practices with Memorial Physician Services, a 158-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
Specialties on file
2

Practice location Address checks out

3132 Old Jacksonville Rd Ste 200
Springfield, IL 62704-7401
Phone: (217) 862-0800
Fax: (217) 862-0871
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 277001660 (IL)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 209020475 (IL)

Record details

NPI number1295361533
Entity typeIndividual (Type 1)
GenderFemale
Credentials GNP
Sole proprietorNo
NPI enumeratedMarch 18, 2020
Last updated in NPPESDecember 30, 2024
Certification dateDecember 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Memorial Physician Services — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Springfield