Active NPI
Oksana Koeppen
- Certified Registered Nurse Anesthetist
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 209019521
- Practice address
- 800 E Carpenter St
Springfield, IL 62769-1000 - Phone
- (217) 544-6464
- NPI assigned
- Apr 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | 041406581 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 209019521 | IL | Primary |
Addresses
Primary practice location
800 E Carpenter St
Springfield, IL 62769-1000
Mailing address
800 E Carpenter St
Springfield, IL 62769-1000
Phone (217) 544-6464
Other practice location 1
1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 258-2440
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | okoeppen250616@ewd.direct.hshs.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Southern Illinois University School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1008 N Main St
Bloomington, IL 61701-1784
Phone (309) 829-5311
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
800 E Carpenter St
Springfield, IL 62769-1000
Phone (217) 544-6464
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.96 of 100
- Quality
- 69.5
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041406581 | IL | MD | Critical Care Medicine Registered Nurse |
| 209019521 | IL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Multi-Specialty | Current | Accepting new patients |
| North American Partners in Anesthesia (Illinois), LLC | Multi-Specialty | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Multi-Specialty | Current | Accepting new patients |
| Anesthesia Pain Services LLC | Multi-Specialty | Current | Accepting new patients |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients |
Locations
3249 Oak Park Ave
Berwyn, IL 60402
Phone (708) 783-2696
1008 N Main St
Bloomington, IL 61701
Phone (309) 829-5311
1505 Eastland Dr
Bloomington, IL 61701
Phone (309) 663-2100
646 W Pershing Rd
Decatur, IL 62526
Phone (217) 875-0300
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
2100 Fort Jesse Rd
Normal, IL 61761
Phone (309) 531-6131
800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643
111 Spring St
Streator, IL 61364
Phone (815) 672-4587
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- okoeppen250616@ewd.direct.hshs.org
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.
-
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
Multi-Specialty
-
- Anesthesiology Physician
- Oak Park, IL
- NPI 1699032524
Multi-Specialty
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
Multi-Specialty
-
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702339200000",
"number": "1609430438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627691000",
"telephone_number": "217-544-6464",
"fax_number": "217-757-6537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E CARPENTER ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627691000",
"telephone_number": "217-544-6464"
}
],
"practiceLocations": [
{
"address_1": "1000 Health Center Dr",
"address_purpose": "LOCATION",
"city": "Mattoon",
"state": "IL",
"postal_code": "619384644",
"country_code": "US",
"telephone_number": "217-258-2440",
"fax_number": "217-258-2186",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOEPPEN",
"first_name": "OKSANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-26",
"last_updated": "2023-12-12",
"certification_date": "2023-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "IL",
"license": "041406581",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209019521",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "okoeppen250616@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "800 E Carpenter St",
"city": "Springfield",
"state": "IL",
"country_code": "US",
"postal_code": "627691000",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Dec 12, 2023; 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.