MRS. MARY BETH DITMAN C.F.N.P.
NPI 1114920139
Nurse Practitioner - Family in Springfield, IL
About Mrs. Mary Beth Ditman C.f.n.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MARY BETH DITMAN C.F.N.P. (NPI 1114920139) is an individual family provider in Springfield, Illinois, licensed in Illinois (209-000728) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Mary Beth Ditman C.f.n.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mary Ditman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Springfield, IL 62703
- Reassigned Medicare billing, Illinois enrollment
- 735 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Medical Center
Acute Care Hospitals · Springfield, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SPRINGFIELD, IL 62702
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mary Ditman's NPI number?
The NPI number for Mary Ditman is 1114920139. It was assigned to this individual provider in the NPPES registry on May 23, 2005.
Where is Mary Ditman located?
Mary Ditman practices at 900 N 1st St, Springfield, IL 62702. The listed phone number is (217) 528-7541.
What is Mary Ditman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Mary Ditman enrolled in Medicare?
Yes. Mary Ditman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mary Ditman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Ditman reassigns Medicare benefits to Springfield Clinic, LLP (Springfield, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Ditman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Mary Ditman affiliated with any hospitals?
According to CMS data, Mary Ditman is affiliated with Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Mary Ditman was last updated on May 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Mary Beth Ditman, C.F.N.P. · NPI 1114920139
Family physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since May 23, 2005.
## Identity
- **NPI:** 1114920139 (Entity type: Individual)
- **Enumerated:** May 23, 2005
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209-000728 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 N 1ST ST, Springfield, IL 62702-3749
- **Phone:** (217) 528-7541 · **Fax:** (217) 525-0121
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Springfield Clinic, LLP (NPI 1780638478, Springfield, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** May 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1114920139) · Data from the CMS NPPES public registry.