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

Mary T Samulevich, APRN

Individual provider Family Nurse Practitioner · NPI 1013504414

Mary T Samulevich, APRN is a Nurse Practitioner in Springfield, Illinois. Qualified in 2019, 7 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2200 Wabash Ave
Springfield, IL 62704-5352
Phone: (217) 528-7541
Fax: (217) 787-7104
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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 209020043 (IL)

Record details

NPI number1013504414
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedDecember 31, 2020
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021
Mailing address1025 S 6th St, Springfield, IL 62703-2499

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 Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Springfield