Mary T. Samulevich, APRN
NPI 1013504414ActiveIndividual· Nurse Practitioner, Family· Springfield, IL
Nurse Practitioner, Family (APRN) with Springfield Clinic, LLP, practicing in Springfield, Illinois. Their prescriptions cost Medicare Part D more than their services did: $127,487 for 2,152 claims, against $22,128 paid for services in 2024. Novo Nordisk Inc reported $123.26 in payments in 2025, mostly food and beverage. Lists Memorial Medical Center as a hospital affiliation.
Overview
| NPI | 1013504414 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Dec 31, 2020 |
| Last updated in NPPES | Dec 21, 2021 |
| Certified by provider | Dec 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209020043 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 146 |
|---|---|
| Services billed | 409 across 29 procedure codes |
| Paid by Medicare | $22,128 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,152 · 4,253 30-day fills |
|---|---|
| Patients | 380 |
| Total drug cost | $127,487 |
| Generic share | 92% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Springfield Clinic, LLPSpringfield, IL · 687 clinicians
Hospital affiliation
- Memorial Medical CenterSpringfield, IL
Industry payments (Open Payments)
- 2025$123.26 · 1 payment from 1 company
- 2024$18.96 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $123.26 | 1 |
What the 2025 payments were for
- Food and Beverage$123.26 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Springfield
- 1205764453
- 1508832890
- 1063961936
- 1356290654
- 1134791270
- 1770984718
- 1679884944
- 1275203051
- 1154931400
- 1588115497
- 1487360178
- 1073963120