Individual provider Active NPI

Holly A Wilke, CRNA

  • Certified Registered Nurse Anesthetist
  • Anna, IL
National Provider Identifier
1386064996
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209011563 Issued in IL
Practice address
517 N Main St
Anna, IL 62906-1668
Phone
(618) 833-4511
NPI assigned
Apr 22, 2014
Last updated
May 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209011563 IL Primary
Registered Nurse 163W00000X 041.416466 IL

Addresses

Primary practice location

517 N Main St
Anna, IL 62906-1668

Mailing address

517 N Main St
Anna, IL 62906-1668
Phone (618) 833-4511

Other practice location 1

2 S Hospital Dr
Murphysboro, IL 62966-3333
Phone (618) 684-3156

Other practice location 2

405 W Jackson St
Carbondale, IL 62901-1462
Phone (618) 549-0721

Other practice location 3

201 S 14th St
Herrin, IL 62948-3631
Phone (618) 942-2171

Other practice location 4

818 E Broadway St
Sparta, IL 62286-1820
Phone (618) 443-1337

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@spartahospital.hin.us
Direct Messaging Address hwilke40407@sih.direct-ci.com
Direct Messaging Address hwilke40407@sih.direct-ci.com
Direct Messaging Address hwilke40407@sih.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141125001472 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173845302 Reassigns benefits to 10 organizations
I20220202000124 MO Practitioner - Certified Registered Nurse Anesthetist (Crna) 3173845302

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 5294649372, 29 clinicians
Marion Anesthesia Company LLCGroup PAC ID 3577522010, 6 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

1900 State St
Chester, IL 62233-1116
Phone (618) 826-4581

2 Good Samaritan Way
Suite 200
Mount Vernon, IL 62864-2476
Phone (618) 899-3869

3003 Civic Circle Blvd
Marion, IL 62959-5259
Phone (618) 993-1112

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
041.416466ILMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Jun 13, 2018 Accepting new patients
Anesthesia Associates of Southern Illinois Surgery Center LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 11, 2019 Accepting new patients
Sparta Community Hospital D/B/a Quality Healthcare Clinics CurrentSince Aug 1, 2015 Accepting new patients
County of Clay CurrentSince Mar 12, 2019 Accepting new patients
County of Clay CurrentSince Mar 12, 2019 Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jan 4, 2017 Accepting new patients
Good Samaritan Regional Health Center Current Accepting new patients
Sparta Community Hospital Current Accepting new patients
St. Mary's Hospital, Centralia, Illinois CurrentSince Jan 4, 2017 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Sep 8, 2020 Accepting new patients
St. Mary's Hospital, Centralia, Illinois Current Accepting new patients
Marion Anesthesia Company LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 30, 2021 Accepting new patients
County of Clay Current Accepting new patients
Memorial Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 13, 2018 Accepting new patients
Northstar Anesthesia of Illinois, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 23, 2023 Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

405 W Jackson St
Carbondale, IL 62901

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1900 State St
Chester, IL 62233
Phone (618) 826-2388

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161

201 S 14th St
Herrin, IL 62948
Phone (618) 942-2171

3003 Civic Circle Blvd
Marion, IL 62959
Phone (618) 993-1112

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

2 Good Samaritan Way
Ste 200
Mount Vernon, IL 62864
Phone (618) 899-3869

4225 Lincolnshire Dr
Ste B
Mount Vernon, IL 62864

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

2 S Hospital Dr
Murphysboro, IL 62966
Phone (618) 684-3156

1423 Chicago Rd
Sauk Village, IL 60411
Phone (708) 679-2160

207 S Burns Ave
Sparta, IL 62286
Phone (618) 443-3084

818 E Broadway St
Sparta, IL 62286
Phone (618) 443-2177

Interoperability endpoints

  • Direct secure messaging: ehr-direct@spartahospital.hin.us
  • FHIR API: https://fhir-usa.unify.chbase.com/org/sparta-7b261c4f
  • Direct secure messaging: hwilke40407@sih.direct-ci.com
  • Direct secure messaging: hwilke49026@direct-ehr-ssmhc.com

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1386064996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061668",
            "telephone_number": "618-833-4511",
            "fax_number": "618-833-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MAIN ST",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629061668",
            "telephone_number": "618-833-4511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 S Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629663333",
            "country_code": "US",
            "telephone_number": "618-684-3156",
            "fax_number": "618-529-0529",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 W Jackson St",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011462",
            "country_code": "US",
            "telephone_number": "618-549-0721",
            "fax_number": "618-529-0449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483631",
            "country_code": "US",
            "telephone_number": "618-942-2171",
            "fax_number": "618-351-4919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "818 E Broadway St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "IL",
            "postal_code": "622861820",
            "country_code": "US",
            "telephone_number": "618-443-1337",
            "fax_number": "618-443-1383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILKE",
        "first_name": "HOLLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-22",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209011563",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.416466",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@spartahospital.hin.us",
            "affiliation": "N",
            "address_1": "818 E Broadway St",
            "city": "Sparta",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622861820",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwilke40407@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "405 W Jackson St",
            "city": "Carbondale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629011462",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwilke40407@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "201 S 14th St",
            "city": "Herrin",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629483631",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hwilke40407@sih.direct-ci.com",
            "affiliation": "N",
            "address_1": "2 S Hospital Dr",
            "city": "Murphysboro",
            "state": "IL",
            "country_code": "US",
            "postal_code": "629663333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anna, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.