AMANDA J BORMANN FNP-C
NPI 1770313983
Nurse Practitioner - Family in Springfield, IL

Active since August 02, 2024PECOS EnrolledAccepts Medicare Assignment
800 E CARPENTER ST, SPRINGFIELD, IL 62702(217) 544-6464 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Sep 13, 2024, Aug 2, 2024 (3 updates tracked since 2024).

About Amanda J Bormann Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA J BORMANN FNP-C (NPI 1770313983) is an individual family provider in Springfield, Illinois, licensed in Illinois (209030192) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with St Johns Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1770313983
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA J BORMANNCredential: FNP-C
Location Address800 E CARPENTER STSpringfield, IL 62702-5324
Mailing Address1904 Persimmon AveChatham, IL 62629-1598 · (217) 741-6343
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 2, 2024
Last NPPES UpdateFebruary 19, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
NPI 1770313983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209030192
Also ListedFamily MedicineTaxonomy 207Q00000X · License 209030192 (IL)
800 E CARPENTER ST, Springfield, IL 62702

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda J Bormann Fnp-c 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.

PECOS PAC ID7416498886
PECOS Enrollment IDI20240925002918
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Johns Hospital

Acute Care Hospitals · Springfield, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140053
Location800 E Carpenter StSpringfield, IL 62769 · Sangamon County
Emergency services Birthing friendly

Physician 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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Occupational Therapist
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Radiology (Diagnostic Radiology)
800 E CARPENTER ST, DEPARTMENT OF RADIOLOGY
SPRINGFIELD, IL 62702
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Physician Assistant
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Physician Assistant
800 E CARPENTER ST
SPRINGFIELD, IL 62702
Internal Medicine
800 E CARPENTER ST
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 Amanda Bormann's NPI number?

The NPI number for Amanda Bormann is 1770313983. It was assigned to this individual provider in the NPPES registry on August 2, 2024.

Where is Amanda Bormann located?

Amanda Bormann practices at 800 E Carpenter St, Springfield, IL 62702. The listed phone number is (217) 544-6464.

What is Amanda Bormann's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Bormann enrolled in Medicare?

Yes. Amanda Bormann 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.

Is Amanda Bormann affiliated with any hospitals?

According to CMS data, Amanda Bormann is affiliated with St Johns Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Bormann was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.