Active NPI
HSHS Prairie, Inc
Doing business as HSHS Prairie Foot and Ankle - Breese
- Durable Medical Equipment & Medical Supplies
- Breese, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- HSHS PRAIRIE, INC
- Doing business as
- HSHS Prairie Foot and Ankle - Breese
- Practice address
- 14160 Jamestown Rd
Breese, IL 62230-3694 - Phone
- (618) 526-7154
- Fax
- (618) 526-8248
- NPI assigned
- Apr 20, 2015
- Last updated
- Oct 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heath M. Roberts
- Title
- President
- Phone
- (217) 492-9648
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
14160 Jamestown Rd
Breese, IL 62230-3694
Mailing address
3051 Hollis Dr FL 2
Springfield, IL 62704-7450
Phone (217) 492-9695
Other names 1
- HSHS Prairie Foot and Ankle - Breese
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161024000622 | IL | DME Supplier - Sports Medicine | 5092857821 | Practice locations: Breese, IL |
Other NPIs with the same Medicare PAC ID 8
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Quick Care - Powered by HSHS Medical Group
- Rural Health Clinic/Center
- Newton, IL
- NPI 1679236533
5092857821
-
dba HSHS Medical Group Family Medicine - Dieterich
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
5092857821
-
dba HSHS Medical Group Family & Internal Medicine - Effingham
- Rural Health Clinic/Center
- Effingham, IL
- NPI 1265904486
5092857821
-
dba HSHS Prairie Foot and Ankle - Springfield
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1467849257
5092857821
-
dba HSHS Prairie Foot and Ankle - Jacksonville
- Durable Medical Equipment & Medical Supplies
- Jacksonville, IL
- NPI 1629465414
5092857821
-
dba HSHS Medical Group Family Medicine - Altamont
- Rural Health Clinic/Center
- Altamont, IL
- NPI 1679108351
5092857821
-
dba HSHS Medical Group Inc
- Rural Health Clinic/Center
- Highland, IL
- NPI 1851536296
5092857821
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| HSHS Medical Group Inc | Contracture Treatment Devices: Dynamic Splint|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Surgical Dressings|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- HSHS Medical Group Inc
Other organizations with this tax ID 17
Organizations that report the same tax identification number in the National Provider Directory.
-
- Children's Hospital
- Decatur, IL
- NPI 1265752844
-
- Internal Medicine Physician
- Springfield, IL
- NPI 1033589304
-
dba HSHS Medical Group Multispecialty Care - Taylorville
- Rural Health Clinic/Center
- Taylorville, IL
- NPI 1093657983
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1215324009
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1265819379
-
- Durable Medical Equipment & Medical Supplies
- Beardstown, IL
- NPI 1528455318
-
dba Quick Care - Powered by HSHS Medical Group
- Rural Health Clinic/Center
- Newton, IL
- NPI 1679236533
-
- Durable Medical Equipment & Medical Supplies
- Havana, IL
- NPI 1790172583
-
dba HSHS Medical Group Multispecialty Care - Mattoon
- Rural Health Clinic/Center
- Mattoon, IL
- NPI 1841132735
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1952798746
-
dba HSHS Medical Group Family Medicine - Dieterich
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792022400000",
"number": "1740677533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 HOLLIS DR FL 2",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627047450",
"telephone_number": "217-492-9695",
"fax_number": "217-492-9643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14160 JAMESTOWN RD",
"city": "BREESE",
"state": "IL",
"postal_code": "622303694",
"telephone_number": "618-526-7154",
"fax_number": "618-526-8248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HSHS PRAIRIE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-20",
"last_updated": "2026-10-15",
"certification_date": "2026-10-15",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "HEATH",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "217-492-9648"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HSHS Prairie Foot and Ankle - Breese",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Breese, IL
- Elyse Haake
- Carol F Hansen, REGISTARED NURSE
- Katlyn Hilmes
- Olivia Hodges
- Courtney Hollenkamp, PT
- Kara Ann Huegen, AGNP-C, FNP
- Brett Lynn Hutcherson, D.O.
- Illinois Family Pharmacy LLC (Comprehensive Care Pharmacy)
- Illinois Family Pharmacy LLC (Comprehensive Care Pharmacy - Long Term Care)
- Infinity-Meds LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.