SHANDERA S GRANGER FNP
NPI 1881405041
Nurse Practitioner - Family in Springfield, IL
About Shandera S Granger Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANDERA S GRANGER FNP (NPI 1881405041) is an individual family provider in Springfield, Illinois, licensed in Illinois (209.031682) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses 2
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
Shandera S Granger Fnp 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.
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
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 Shandera Granger's NPI number?
The NPI number for Shandera Granger is 1881405041. It was assigned to this individual provider in the NPPES registry on January 16, 2025.
Where is Shandera Granger located?
Shandera Granger practices at 751 N Rutledge St, Springfield, IL 62702. The listed phone number is (217) 553-1518.
What is Shandera Granger's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shandera Granger enrolled in Medicare?
Yes. Shandera Granger 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 Shandera Granger affiliated with any hospitals?
According to CMS data, Shandera Granger is affiliated with Memorial Medical Center.
When was this NPI record last updated?
The NPPES record for Shandera Granger was last updated on March 7, 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.
# Shandera S Granger, FNP · NPI 1881405041
Family physician in Springfield, Illinois. Individual provider, active in the CMS NPPES registry since January 16, 2025.
## Identity
- **NPI:** 1881405041 (Entity type: Individual)
- **Enumerated:** January 16, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.031682 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 751 N RUTLEDGE ST, Springfield, IL 62702-4968
- **Phone:** (217) 553-1518
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1881405041) · Data from the CMS NPPES public registry.