Ocean Breeze Wellness & Primary Care

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OCEAN BREEZE WELLNESS & PRIMARY CARE

Practice address

1502 Wabash Ave
Springfield, IL 62704-5309

Phone

(217) 741-2935

Fax

(217) 203-8750

NPI assigned

May 13, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Hildebrand, NPNPI 1922623156

Title

Owner

Phone

(217) 741-2935

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda E Hildebrand, FNP-C

  • Family Nurse Practitioner
  • Springfield, IL
  • NPI 1922623156
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1194516922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 ARMOR RD",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045203",
            "telephone_number": "217-741-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 WABASH AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627045309",
            "telephone_number": "217-741-2935",
            "fax_number": "217-203-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "425 Armor Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627045203",
            "country_code": "US",
            "telephone_number": "217-299-7012",
            "fax_number": "217-299-7012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCEAN BREEZE WELLNESS & PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "HILDEBRAND",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-741-2935",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilla Obaidullah
• Sara Oberg
• Michael Obregon, MD
• Irampelh Razon Ocasla, RPT
• Juan Ocenar Ocasla Jr.
• Alexander Ochoa Falla, DDS
• Octave Behavioral Michigan PC
• Oluwatamilore Odimayo, LPC
• Shamarqus Odimayo
• Amir Oduche, MD

• Primary Care Clinic/Center in Springfield, IL
• Providers in Springfield, IL by specialty
• Primary Care Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.