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

Q: 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.

Q: 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.

Active since May 13, 2025CLIA 14D2344052 · Waiver

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: September 20, 2026.

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

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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 holds a CLIA Waiver certificate valid through May 14, 2028, 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

Phone(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

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Secondary Practice Location 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2344052

Ocean Breeze Wellness & Primary Care · Springfield, IL

Active · expires May 14, 2028

CLIA Number14D2344052

Laboratory TypePhysician Office

Certificate Effective DateMay 15, 2026

Certificate Expiration DateMay 14, 2028

Laboratory DirectorAmanda E. Hildebrnad

Laboratory Phone(217) 741-2935

Laboratory LocationOcean Breeze Wellness & Primary Care1502 Wabash Ave, Springfield, IL 62704

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. AMANDA E HILDEBRAND FNP-C

Nurse Practitioner (Family)

1502 WABASH AVE
SPRINGFIELD, IL 62704

Sangamon County (217) 741-2935

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.

Does Ocean Breeze Wellness & Primary Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2344052) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 53 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.