St. Joseph's Hospital – General Acute Care Hospital, NPI 1457319154
General Acute Care Hospital
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for St. Joseph's Hospital
3051 HOLLIS DR
SPRINGFIELD, IL 627047450
Phone: (618) 526-4511
Fax: (618) 526-2291
Type: Mailing
HSHS St. Joseph's Hospital - Breese, 9515, Holy Cross Lane, Breese, Clinton County, Illinois, 60050, United States
BOX 99
BREESE, IL 622303618
Phone: (618) 526-4511
Fax: (618) 526-2291
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-09-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040217000493 | O | Clinic/Group Practice | IL | TBD |
| O20241120002454 | O | Clinic/Group Practice | TX | TBD |
| O20241203001379 | O | Clinic/Group Practice | CA | TBD |
| O20250116000944 | O | Clinic/Group Practice | PA | TBD |
| O20250915000318 | O | Intensive Cardiac Rehabilitation | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62704)
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