1. Home
  2. Directory
  3. Illinois
  4. Manteno
  5. Podiatrist
  6. NPI Profile

PRAIRIE ROCK FOOT & ANKLE CLINIC LTD
NPI 1437136926
Podiatrist - Foot & Ankle Surgery in Manteno, IL

Active since December 27, 2005
2825 WEST DIVISION STREET, MANTENO, IL 60950(815) 468-7117(815) 468-7510 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Prairie Rock Foot & Ankle Clinic Ltd NPPES

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

PRAIRIE ROCK FOOT & ANKLE CLINIC LTD (NPI 1437136926), doing business as Manteno Foot & Ankle Clinic, is a healthcare organization registered as a foot & ankle surgery in Manteno, Illinois and active in the NPI registry since December 2005. The organization lists Alene D Lesage, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1437136926
Entity TypeOrganization
Primary Taxonomy213ES0103X
Legal Business NamePRAIRIE ROCK FOOT & ANKLE CLINIC LTD
Location Address2825 WEST DIVISION STREETManteno, IL 60950-1518
Mailing Address2825 West Division StreetManteno, IL 60950-1518 · (815) 468-7117 · Fax (815) 468-7510
Phone(815) 468-7117
Fax(815) 468-7510
Organization SubpartNo
Authorized OfficialAlene D LesageOffice Manager · (815) 468-7117
Enumeration DateDecember 27, 2005
Last NPPES UpdateJuly 21, 2022
✔ NPI 1437136926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
2825 WEST DIVISION STREET, Manteno, IL 60950
Open in Google Maps ↗

Other Names 1

Former Legal Business NameManteno Foot & Ankle Clinic

Other Identifiers 2

Other203799IL · Medicare Group Number
Other480034698IL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie Rock Foot & Ankle Clinic Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Prairie Rock Foot & Ankle Clinic Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Rebecca Hodulik, DPM
Podiatry
NPI 1609853746
2825 WEST DIVISION ST
Manteno, IL 60950
(815) 468-7117
✔ PECOS✔ Accepts MedicareSame address
Elizabeth Hofmeister, DPM
Podiatry
NPI 1104803105
2825 WEST DIVISION ST
Manteno, IL 60950
(815) 468-7117
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Prairie Rock Foot & Ankle Clinic Ltd's NPI number?

The NPI number for Prairie Rock Foot & Ankle Clinic Ltd is 1437136926. It was assigned to this organization in the NPPES registry on December 27, 2005. The provider was formerly known as Manteno Foot & Ankle Clinic.

Where is Prairie Rock Foot & Ankle Clinic Ltd located?

Prairie Rock Foot & Ankle Clinic Ltd is located at 2825 West Division Street, Manteno, IL 60950. The listed phone number is (815) 468-7117.

What is Prairie Rock Foot & Ankle Clinic Ltd's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Prairie Rock Foot & Ankle Clinic Ltd enrolled in Medicare?

Yes. Prairie Rock Foot & Ankle Clinic Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie Rock Foot & Ankle Clinic Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Podiatry, reassign their Medicare billing to Prairie Rock Foot & Ankle Clinic Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Prairie Rock Foot & Ankle Clinic Ltd was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.