AMANDA L. SHULL PA-C
NPI 1962638130
Physician Assistant in Springfield, IL

Q: What is Amanda Shull's NPI number?

The NPI number for Amanda Shull is 1962638130. It was assigned to this individual provider in the NPPES registry on June 2, 2009. The provider is also known as Amanda L. Pankau Pa-C.

Q: What is Amanda Shull's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Shull was last updated on May 20, 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.

Active since June 02, 2009PECOS EnrolledAccepts Medicare Assignment

900 N. 1ST STREET, SPRINGFIELD, IL 62702(217) 525-0210(217) 525-1007 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Amanda L. Shull Pa-c NPPES

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

AMANDA L. SHULL PA-C (NPI 1962638130) is an individual physician assistant in Springfield, Illinois, licensed in Illinois (85003463) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1962638130

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAMANDA L. SHULLCredential: PA-C

Location Address900 N. 1ST STREETSpringfield, IL 62702-3749

Mailing Address1025 S 6th StSpringfield, IL 62703-2403 · (217) 528-7541 · Fax (217) 528-8962

Phone(217) 525-0210

Fax(217) 525-1007

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 2, 2009

Last NPPES UpdateMay 20, 2020

NPPES CertifiedMay 20, 2020

✔ NPI 1962638130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 85003463

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

900 N. 1ST STREET, Springfield, IL 62702

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Other Names 1

Former Name (1)Amanda L. Pankau Pa-c

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 L. Shull Pa-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 ID941482475

PECOS Enrollment IDI20110304000429

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

44 services33 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

37 services37 patients

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, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · 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

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

DR. LUCINDA A HANY

Obstetrics & Gynecology