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

Mary T. Dambacher, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1477995611

Mary T. Dambacher, FNP-BC is a Nurse Practitioner in Springfield, Illinois. Qualified in 2013, 13 years ago. Practices with Central Counties Health Centers, Inc, a 16-clinician group and works from 2 locations. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2013
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2200 Shale St
Springfield, IL 62703-5625
Phone: (217) 788-2321
Fax: (217) 679-7291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2239 E Cook St, Springfield, IL 62703-1944 — (217) 788-2300

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209010559 (IL)

Record details

NPI number1477995611
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 29, 2013
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Central Counties Health Centers, Inc. — 16 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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