Individual provider Active NPI

Savanna Nicole Weder, DNP

  • Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1609688845
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.031557 Issued in IL
Practice address
701 N 1St St Box 37
Springfield, IL 62781-0001
Phone
(217) 788-3156
NPI assigned
Jan 24, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.031557 IL Primary
Registered Nurse 163W00000X 041509694 IL

Addresses

Primary practice location

701 N 1St St Box 37
Springfield, IL 62781-0001

Mailing address

632 Robinson LN
Winchester, IL 62694-3604
Phone (217) 370-5326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313003687 IL Practitioner - Nurse Practitioner 2466974928 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041509694ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Center of Il Current Accepting new patients
Passavant Memorial Area Hospital Association CurrentSince Feb 12, 2025 Accepting new patients
Midwest Emergency Department Specialists LTD CurrentSince Feb 11, 2025 Accepting new patients
Passavant Memorial Area Hospital Association Nurse Practitioner CurrentSince Feb 12, 2025 Accepting new patients
Passavant Memorial Area Hospital Association Past Accepting new patients

Locations

1600 W Walnut St
South Jacksonville, IL 62650
Phone (217) 245-7275

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

701 N 1st St
#37
Springfield, IL 62781
Phone (217) 788-3156

Interoperability endpoints

  • Direct secure messaging: savannaweder@oci.allscriptsdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1609688845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 ROBINSON LN",
            "city": "WINCHESTER",
            "state": "IL",
            "postal_code": "626943604",
            "telephone_number": "217-370-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N 1ST ST BOX 37",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627810001",
            "telephone_number": "217-788-3156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEDER",
        "first_name": "SAVANNA",
        "middle_name": "NICOLE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.031557",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041509694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.