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

Shannon D Walle, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1649883992

Shannon D Walle, FNP-BC is a Nurse Practitioner in Springfield, Illinois. Qualified in 2020, 6 years ago. Practices with Springfield Clinic, LLP, a 679-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020
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

800 N 1st St
Springfield, IL 62702-3778
Phone: (217) 528-7541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3131 N Water St, Decatur, IL 62526-2472 — (217) 876-5320

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209021729 (IL)

Record details

NPI number1649883992
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedAugust 26, 2020
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Springfield Clinic, Llp — 679 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations7 on file with Medicare

Other providers in Springfield