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

Shandera S Granger, FNP

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881405041

Shandera S Granger, FNP is a Nurse Practitioner in Springfield, Illinois. Qualified in 2024, 2 years ago. Practices with SIU Physicians and Surgeons Inc, a 316-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2025
Specialties on file
2
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

751 N Rutledge St
Springfield, IL 62702-4968
Phone: (217) 553-1518
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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 209.031682 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (IL)

Record details

NPI number1881405041
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJanuary 16, 2025
Last updated in NPPESMarch 7, 2025
Certification dateMarch 7, 2025
Mailing address201 E Madison St Ste 328, Springfield, IL 62702-5131

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Siu Physicians And Surgeons Inc — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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