NPIMap

Organization Active NPI

HSHS Prairie, Inc

  • Multi-Specialty Clinic/Center
  • Springfield, IL
National Provider Identifier
1962644807
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HSHS PRAIRIE, INC
Practice address
3051 Hollis Dr
Springfield, IL 62704-7450
Phone
(217) 523-5406
Fax
(217) 492-9643
NPI assigned
Mar 24, 2009
Last updated
Oct 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

3051 Hollis Dr
Springfield, IL 62704-7450

Mailing address

3051 Hollis Dr
Springfield, IL 62704-7450
Phone (217) 523-5406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100116000275 IL Part B Supplier - Clinic/Group Practice 5092857821 Receives reassigned benefits from 344 practitioners
2 other NPIs on this enrollment

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • HSHS Medical Group Inc

    dba Quick Care - Powered by HSHS Medical Group

    • Rural Health Clinic/Center
    • Newton, IL
    • NPI 1679236533

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Medical Group Family Medicine - Dieterich

    • Rural Health Clinic/Center
    • Dieterich, IL
    • NPI 1033841192

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Medical Group Family & Internal Medicine - Effingham

    • Rural Health Clinic/Center
    • Effingham, IL
    • NPI 1265904486

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Prairie Foot and Ankle - Springfield

    • Durable Medical Equipment & Medical Supplies
    • Springfield, IL
    • NPI 1467849257

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Prairie Foot and Ankle - Jacksonville

    • Durable Medical Equipment & Medical Supplies
    • Jacksonville, IL
    • NPI 1629465414

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Medical Group Family Medicine - Altamont

    • Rural Health Clinic/Center
    • Altamont, IL
    • NPI 1679108351

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Prairie Foot and Ankle - Breese

    • Durable Medical Equipment & Medical Supplies
    • Breese, IL
    • NPI 1740677533

    5092857821

    Same PAC ID
  • HSHS Prairie, Inc

    dba HSHS Medical Group Inc

    • Rural Health Clinic/Center
    • Highland, IL
    • NPI 1851536296

    5092857821

    Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

544 W Pershing Rd
Decatur, IL 62526
Phone (217) 872-2400

900 W Temple Ave
#150
Effingham, IL 62401

107 W 1st St
O Fallon, IL 62269
Phone (618) 632-2118

1512 N Green Mount Rd
Ste 108
O Fallon, IL 62269
Phone (618) 624-5510

1512 N Green Mount Rd
Ste 300
O Fallon, IL 62269
Phone (618) 632-5001

670 Pierce Blvd
Ste 200
O Fallon, IL 62269
Phone (618) 206-2094

1405 Stevenson Dr
Springfield, IL 62703

2524 Farragut Dr
Ste B
Springfield, IL 62704
Phone (217) 726-8820

4337 Conestoga Dr
Springfield, IL 62711
Phone (217) 789-3600

Practitioners & affiliated clinicians

Practitioners 359

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 359

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792022400000",
    "number": "1962644807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 HOLLIS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047450",
            "telephone_number": "217-523-5406",
            "fax_number": "217-492-9643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3051 HOLLIS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047450",
            "telephone_number": "217-523-5406",
            "fax_number": "217-492-9643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSHS PRAIRIE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "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": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.