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

Mrs. Mary Beth Ditman, CFNP

Individual provider Family Nurse Practitioner · NPI 1114920139

Mrs. Mary Beth Ditman, CFNP is a Nurse Practitioner in Springfield, Illinois. Qualified in 1997, 29 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2005
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Practice location Address checks out

900 N 1st St
Springfield, IL 62702-3749
Phone: (217) 528-7541
Fax: (217) 525-0121
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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 209-000728 (IL)

Record details

NPI number1114920139
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorNo
NPI enumeratedMay 23, 2005
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020
Mailing address1025 S 6th St, Springfield, IL 62703-2403

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield