Individual provider Active NPI

Folarin O Odueyungbo, APRN, CRNA

  • Certified Registered Nurse Anesthetist
  • Winfield, IL
National Provider Identifier
1932157294
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209005908 Issued in IL
Practice address
25 N Winfield Rd
Winfield, IL 60190-1379
Phone
(630) 933-6675
Fax
(630) 933-2614
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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 209005908 IL Primary
Certified Registered Nurse Anesthetist 367500000X 3737 WI

Addresses

Primary practice location

25 N Winfield Rd
Winfield, IL 60190-1379

Mailing address

25 N Winfield Rd
Winfield, IL 60190-1379
Phone (630) 933-6675

Other practice location 1

707 S University Ave
Beaver Dam, WI 53916-3027
Phone (920) 887-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, MI, WI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20060105000017 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941223937 Reassigns benefits to 2 organizations
I20060124000541 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941223937 Reassigns benefits to 5 organizations
I20060918000327 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941223937 Reassigns benefits to 2 organizations
I20090728000493 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0941223937 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaver Dam Community Hospitals Inc. 64 clinicians

Practice addresses (Care Compare)

705 S University Ave
MMC Beaver Dam Medical Offices
Beaver Dam, WI 53916-3053
Phone (920) 887-7181

707 S University Ave
MMC Beaver Dam Hospital
Beaver Dam, WI 53916-3027
Phone (920) 887-7181

Hospital & facility affiliations

  • Marshfield Medical Center - Beaver Dam (MMC-BD) Hospital, Beaver Dam, WI, CCN 520076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209005908ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Indiana II, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2015 Accepting new patients
Allied Anesthesia Associates, P.C. CurrentSince Apr 9, 2018 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 17, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Feb 10, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Dec 17, 2025 Accepting new patients
Memorial Medical Center Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2025 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 17, 2025 Accepting new patients
Marshfield Clinic Inc CurrentSince Dec 17, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Feb 10, 2026 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Dec 17, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Dec 17, 2025 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Mar 14, 2017 Accepting new patients
Memorial Medical Center CurrentSince Mar 1, 2025 Accepting new patients
Flambeau Hospital Inc CurrentSince Dec 17, 2025 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Feb 10, 2026 Accepting new patients
MCHS Hospitals Inc CurrentSince Dec 17, 2025 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Dec 17, 2025 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Mar 14, 2017 Accepting new patients
Memorial Hospital Inc CurrentSince Dec 17, 2025 Accepting new patients
Iceland Anesthesia Management, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 26, 2026 Accepting new patients
Amsol Anesthetists of Illinois, PC Nurse Anesthetist, Certified Registered Past Accepting new patients
Stat Anesthesia Specialists, LTD. Past Accepting new patients
Interventional Pain Management, LTD. Past Accepting new patients
American Anesthesiology of Illinois, LLC Past Accepting new patients

Locations

403 S Kennedy Dr
Bradley, IL 60915
Phone (815) 928-9999

29980 Network Pl
Chicago, IL 60673

185 Penny Ave
East Dundee, IL 60118
Phone (847) 836-7015

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

1200 Maple Rd
Joliet, IL 60432
Phone (815) 740-1100

1301 Copperfield Ave
Joliet, IL 60432
Phone (815) 726-6611

10719 160th St
Orland Park, IL 60467
Phone (702) 263-3300

701 N 1st St
Springfield, IL 62781
Phone (217) 788-3100

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

1101 Michigan Ave
Logansport, IN 46947
Phone (574) 753-1475

441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Organizations & group practices 35

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.

View all 35

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1932157294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-933-6675",
            "fax_number": "630-933-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N WINFIELD RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901379",
            "telephone_number": "630-933-6675",
            "fax_number": "630-933-2614"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 S University Ave",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "WI",
            "postal_code": "539163027",
            "country_code": "US",
            "telephone_number": "920-887-7181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ODUEYUNGBO",
        "first_name": "FOLARIN",
        "middle_name": "O",
        "credential": "APRN, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209005908",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "3737",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.