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

Amanda M Mavis, FNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1396269700

Amanda M Mavis, FNP is a Nurse Practitioner in Springfield, Illinois. Qualified in 2017, 9 years ago. Practices with Memorial Physician Services, a 158-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3225 Hedley Rd
Springfield, IL 62711-6248
Phone: (217) 726-7300
Fax: (217) 726-5989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 209016157 (IL)

Record details

NPI number1396269700
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJuly 27, 2017
Last updated in NPPESJuly 27, 2017
Mailing addressPo Box 3428, Springfield, IL 62708-3428

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Memorial Physician Services — 158 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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