Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OCEAN BREEZE WELLNESS & PRIMARY CARE
NPI 1194516922
Clinic/Center - Primary Care in Springfield, IL

Active since May 13, 2025
1502 WABASH AVE, SPRINGFIELD, IL 62704(217) 741-2935(217) 203-8750 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 3, 2026, May 25, 2025, May 13, 2025 (3 updates tracked since 2025).

About Ocean Breeze Wellness & Primary Care NPPES

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

OCEAN BREEZE WELLNESS & PRIMARY CARE (NPI 1194516922) is a healthcare organization registered as a primary care in Springfield, Illinois and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Springfield and lists Amanda Hildebrand, Owner, as its authorized official.

NPPES Registry Identity

NPI1194516922
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameOCEAN BREEZE WELLNESS & PRIMARY CARE
Location Address1502 WABASH AVESpringfield, IL 62704-5309
Mailing Address425 Armor RdSpringfield, IL 62704-5203 · (217) 741-2935
Fax(217) 203-8750
Organization SubpartNo
Authorized OfficialAmanda HildebrandOwner · (217) 741-2935
Enumeration DateMay 13, 2025
Last NPPES UpdateAugust 3, 20263 updates tracked since enumeration
NPPES CertifiedAugust 3, 2026
NPI 1194516922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
1502 WABASH AVE, Springfield, IL 62704

Secondary Practice Location 1

Location 1425 Armor RdSpringfield, IL 62704-5203 · Phone (217) 299-7012 · Fax (217) 299-7012

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1502 WABASH AVE
SPRINGFIELD, IL 62704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ocean Breeze Wellness & Primary Care's NPI number?

The NPI number for Ocean Breeze Wellness & Primary Care is 1194516922. It was assigned to this organization in the NPPES registry on May 13, 2025.

Where is Ocean Breeze Wellness & Primary Care located?

Ocean Breeze Wellness & Primary Care is located at 1502 Wabash Ave, Springfield, IL 62704. The listed phone number is (217) 741-2935.

What is Ocean Breeze Wellness & Primary Care's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Ocean Breeze Wellness & Primary Care was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.