Individual provider Active NPI

Amanda E Hildebrand, FNP-C

  • Family Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1922623156
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277.004220 Issued in IL
Practice address
1502 Wabash Ave
Springfield, IL 62704-5309
Phone
(217) 741-2935
Fax
(217) 203-8750
NPI assigned
Jun 12, 2020
Last updated
Aug 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277.004220 IL Primary

Addresses

Primary practice location

1502 Wabash Ave
Springfield, IL 62704-5309

Mailing address

425 Armor Rd
Springfield, IL 62704-5203
Phone (217) 741-2935

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
I20210630004102 IL Practitioner - Nurse Practitioner 3577964386 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Post Acute Care PLLC CurrentSince Jan 1, 2025 Accepting new patients
Ocean Breeze Wellness & Primary Care CurrentSince May 23, 2025 Accepting new patients
Midwest Allergy Sinus Asthma S.C. CurrentSince May 1, 2024 Accepting new patients
Hansa Medical Groupe PLLC CurrentSince Jul 1, 2021 Accepting new patients
Altea Medical Illinois PLLC CurrentSince May 2, 2025 Accepting new patients
Midwest Post Acute Care Aco PLLC CurrentSince Jan 6, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince May 23, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Oct 7, 2023 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

1925 S Main St
Bloomington, IL 61704
Phone (309) 829-4248

20733 N Broad St
Carlinville, IL 62626
Phone (217) 854-3141

2045 W Grand Ave
Ste B
Chicago, IL 60612
Phone (800) 827-7437

490 W 16th Pl
Chicago Hts, IL 60411
Phone (708) 481-4444

1 Park Ln W
Clinton, IL 61727
Phone (217) 935-8500

3354 Jerome Ln
East Saint Louis, IL 62206
Phone (618) 337-9400

1101 E State St
Geneva, IL 60134
Phone (630) 232-7544

1745 W Walnut St
Jacksonville, IL 62650
Phone (217) 243-6454

2010 Jacobssen Dr
Normal, IL 61761
Phone (309) 452-0995

1502 Wabash Ave
Springfield, IL 62704
Phone (217) 741-2935

2151 W White Oaks Dr
Springfield, IL 62704
Phone (217) 361-6254

555 W Carpenter St
Springfield, IL 62702
Phone (217) 525-1880

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/9233/brand/1/csg/1/fhir/r4

Organizations & group practices 8

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": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1922623156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ARMOR RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045203",
            "telephone_number": "217-741-2935",
            "fax_number": "217-203-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 WABASH AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045309",
            "telephone_number": "217-741-2935",
            "fax_number": "217-203-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "AMANDA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.004220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.