Active NPI
Peter George Wipfli, CRNA
- Certified Registered Nurse Anesthetist
- Midwest City, OK
National Provider Identifier
1144217464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R0022628
- Practice address
- 2825 Parklawn Dr
Midwest City, OK 73110-4201 - Phone
- (405) 610-4411
- NPI assigned
- Oct 3, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | R0022628 | OK | Primary |
Addresses
Primary practice location
2825 Parklawn Dr
Midwest City, OK 73110-4201
Mailing address
PO Box 10736
Midwest City, OK 73140-1736
Phone (405) 769-9218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 730927322002 | Other | OK | BCBS |
| 730927322003 | Other | OK | TRICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0022628 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| St . Lukes at the Villages, PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Wipfli Anesthesia Associates Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Blackhawk Mangum, LLC | Past | Accepting new patients | |
| St Lukes Surgical Center Inc | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Norman, OK
- NPI 1861649691
Nurse Anesthetist, Certified Registered
-
- Clinic/Center
- Mangum, OK
- NPI 1811351703
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Ophthalmology Physician
- The Villages, FL
- NPI 1801144217
Nurse Anesthetist, Certified Registered
-
- Ophthalmology Physician
- Tarpon Springs, FL
- NPI 1508890476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1144217464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10736",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731401736",
"telephone_number": "405-769-9218",
"fax_number": "405-769-9218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 PARKLAWN DR",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104201",
"telephone_number": "405-610-4411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIPFLI",
"first_name": "PETER",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0022628",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "730927322002",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "730927322003",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midwest City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.