Individual provider Active NPI

Wilhelm Franz Okken, CRNA

  • Certified Registered Nurse Anesthetist
  • Jackson, MI
National Provider Identifier
1689007775
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN516206L Issued in PR
Practice address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone
(800) 516-5315
Fax
(517) 787-7365
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN516206L PR Primary

Addresses

Primary practice location

255 W Michigan Ave
Jackson, MI 49201-2218

Mailing address

255 W Lancaster Ave
Paoli, PA 19301-1763
Phone (610) 648-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140508001375 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 7810120227 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Pennsylvania LLCGroup PAC ID 5092941161, 65 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 728-7000

1500 Lansdowne Ave
Darby, PA 19023-1291
Phone (610) 237-4000

454 Enterprise Dr
Royersford, PA 19468-1200
Phone (610) 495-3330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN516206LPRMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
Orthomed Staffing LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

491 John Young Way
Ste 100
Exton, PA 19341
Phone (443) 907-6068

1230 American Blvd
Ste 101
West Chester, PA 19380
Phone (484) 473-6050

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1689007775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W LANCASTER AVE",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011763",
            "telephone_number": "610-648-1000",
            "fax_number": "517-787-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W MICHIGAN AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492012218",
            "telephone_number": "800-516-5315",
            "fax_number": "517-787-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKKEN",
        "first_name": "WILHELM",
        "middle_name": "FRANZ",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PR",
            "license": "RN516206L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.