Charlene Velma Koepke, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

094885 Issued in MO

Practice address

10010 Kennerly Rd
Saint Louis, MO 63128-2106

Phone

(636) 386-7222

Fax

(636) 386-7810

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

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.

• Ambulatory Anesthesia Services of St. Charles, LLC

  • Anesthesiology Physician
  • Saint Peters, MO
  • NPI 1467634097
  Medicare reassignment NPD
• Premier Anesthesia LLC

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1225073828

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• South County Anesthesia Associates, LTD.

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1821031659
  Medicare reassignment NPD
• South County Anesthesia Associates, LTD

  • Pain Clinic/Center
  • Wentzville, MO
  • NPI 1114290749
  NPD
• Anesthesia Services of Eastern Jackson County, P.C.

  • Anesthesiology Physician
  • Lees Summit, MO
  • NPI 1699875740
  NPD (past)
• Freeman Neosho Hospital

  • Anesthesiology Physician
  • Neosho, MO
  • NPI 1164451746

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Midwest Anesthesia Inc.

  • Anesthesiology Physician
  • Saint Louis, MO
  • NPI 1285717587
  NPD (past)
• Midstate Medical Services PA

  • Anesthesiology Physician
  • Hot Springs, AR
  • NPI 1851315501
  NPD (past)
• MN Anesthesia LLC

  • Anesthesiology Physician
  • Berwyn, IL
  • NPI 1245275726
  NPD (past)
• Norton Anesthesia Services

  • Anesthesiology Physician
  • Louisville, KY
  • NPI 1376520528

  Nurse Anesthetist, Certified Registered

  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1467563023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 NE MULBERRY",
            "address_2": "SUITE 202",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "640864533",
            "telephone_number": "816-389-4137",
            "fax_number": "816-389-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "636-386-7222",
            "fax_number": "636-386-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEPKE",
        "first_name": "CHARLENE",
        "middle_name": "VELMA",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "094885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "912719150",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Marie Koenig, MD
• Michael G Koenig, M.D.
• Sara M Koenig, WHNP
• Shannon Kelly Koenigsfeld, PLPC
• Jeffrey R Koenitzer, MD
• Haley M Koepp, PMHNP-BC
• Lisa A Koester-Wiedemann, ANP
• Rachel Koester, IBCLC
• Cathy Ware Koetting, CPNP, NP-C
• Julia Lynne Kofkoff, D.D.S.

• Certified Registered Nurse Anesthetist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Certified Registered Nurse Anesthetist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; 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.