Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013504414 Individual Practitioner Female Practitioner

Mary T Samulevich , APRN

Nurse Practitioner - Family • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mary Samulevich, APRN is a certified Nurse Practitioner - Family practicing in Springfield, IL. With approximately 7 years of clinical experience since completing medical education in 2019, Mary Samulevich delivers high-quality medical care to the local community at 2200 WABASH AVE.

Mary Samulevich is affiliated with Springfield Clinic, Llp and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2200 Wabash Ave

Springfield, IL 627045352

Telephone 2175287541
Fax 2177877104
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Springfield, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -2.2 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
311 Specialists

Practicing in Springfield, IL (7705 Statewide)

Telehealth Adoption Rate
10.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
75.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Samulevich (7 Years) 7 Yrs
Springfield Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
104 77 $582.04 $104.04
99213 Established patient office or other outpatient visit, typically 15 minutes
88 78 $413.43 $73.92
36415 Insertion of needle into vein for collection of blood sample
84 67 $8.18 $7.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
58 58 $182.00 $108.08

Medical Specialties & State Licenses

CMS Verified: 2021-12-21
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License IL 209020043

Definition to come...

Hospital & Practice Group Affiliations

Springfield Clinic, Llp

2200 Wabash Ave, Springfield, IL 627045352

Phone: 2177870727

Springfield Clinic, Llp

1025 S 6th St, Springfield, IL 627032403

Phone: 2175287541

Springfield Clinic, Llp

775 Engineering Ave, Springfield, IL 627035909

Phone: 2175224300

Springfield Clinic, Llp

800 N 1st St, Springfield, IL 627023719

Phone: 2175287541

Springfield Clinic, Llp

400 Saint Johns Dr, Sherman, IL 626849779

Phone: 2175254150

Springfield Clinic, Llp

350 W Carpenter St, Springfield, IL 627024902

Phone: 2175250210

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kaitlin Henry , MD

Family Medicine

NPI 1003136276

Doctor of Medicine (M.D.)

Sydney Lynch

Physician Assistant - Surgical

NPI 1003404864
Jeremy Elliott

Nurse Practitioner - Family

NPI 1003416546
Jessica Lee , APN

Nurse Practitioner - Family

NPI 1003461831

Advanced Practice Nurse

Julie Hart , PA-C

Physician Assistant

NPI 1003867342

Physician Assistant (Certified)

NPI 1003900739

Licensed Clinical Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
👤
Provider Name / Credentials Updated December 21, 2021

Recorded as MARY SAMULEVICH, APRN

NPI Profile Active December 31, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2020

Registered at 2200 WABASH AVE, SPRINGFIELD, IL 627045352 (Tel: 2175287541)

📍
Updated Business Mailing Address December 31, 2020

Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032499 (Tel: 2175287541)

👤
Provider Name / Credentials Updated December 31, 2020

Recorded as MARY BAHL, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2020

Nurse Practitioner (License #209020043 in IL)

🟢
Initial NPI Registration & Enumeration December 31, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013504414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2020
Last Update: December 21, 2021
Sole Proprietor: No

Mailing Address

1025 S 6th St

Springfield, IL 627032499

Phone: 2175287541

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.