1. Home
  2. Directory
  3. Oklahoma
  4. City
  5. Nurse Anesthetist Certified Registered
  6. NPI Profile

IVAN KOZHULENKO CRNA
NPI 1023592805
Nurse Anesthetist, Certified Registered in Oklahoma City, OK

Active since September 18, 2018Accepts Medicare Assignment
71.66/100
CMS Quality Rating
920 STANTON L YOUNG BLVD STE WP1140, OKLAHOMA CITY, OK 73104(405) 271-4351(405) 271-8695 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 17, 2020, Sep 18, 2018 (2 updates tracked since 2018).

About Ivan Kozhulenko Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN KOZHULENKO CRNA (NPI 1023592805) is an individual nurse anesthetist, certified registered in Oklahoma City, Oklahoma, licensed in Oklahoma (127368) and active in the NPI registry since September 2018. He is affiliated with O U Medical Center and is a graduate of Other (2018).

NPPES Registry Identity

NPI1023592805
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameIVAN KOZHULENKOCredential: CRNA
Location Address920 STANTON L YOUNG BLVD STE WP1140Oklahoma City, OK 73104-5036
Mailing AddressPo Box 26901Oklahoma City, OK 73126-0901 · (405) 271-4351 · Fax (405) 271-8695
Phone(405) 271-4351
Fax(405) 271-8695
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 18, 2018
Last NPPES UpdateDecember 17, 20202 updates tracked since enumeration
NPPES CertifiedDecember 17, 2020
✔ NPI 1023592805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OK · 127368
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
920 STANTON L YOUNG BLVD STE WP1140, Oklahoma City, OK 73104
Open in Google Maps ↗

Other Identifiers 1

Other12345OK · None

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivan Kozhulenko Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618211046
PECOS Enrollment IDI20181211003453

Medicare Billing Reassignments

3

Medicare enrollment records show Ivan Kozhulenko reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Board Of Regents Of The University Of Oklahoma - Ou Physicians
0.1 mi
Multi-Specialty
825 NE 10TH ST
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 845 clinicians in this Medicare group
NPI 1801869250 (405) 271-3932
Ou Health Partners, Inc
0.2 mi
Multi-Specialty
1200 CHILDRENS AVE STE 11200
Oklahoma City, OK 73104
  • Reassigned Medicare billing, Oklahoma enrollment
  • 1,795 clinicians in this Medicare group
NPI 1528642642 (405) 271-3932
Emergenchealth PLLC
192 mi
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Oklahoma enrollment
  • 315 clinicians in this Medicare group
NPI 1467970897 (972) 861-1270

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
32 services31 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
100%249 patients5/55-star benchmark: 100%
Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy
Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least…
56%176 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. WILLIAM A. WINDHAM MD
Anesthesiology
920 STANTON L YOUNG BLVD STE WP1140
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4351

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Kozhulenko's NPI number?

The NPI number for Ivan Kozhulenko is 1023592805. It was assigned to this individual provider in the NPPES registry on September 18, 2018.

Where is Ivan Kozhulenko located?

Ivan Kozhulenko practices at 920 Stanton L Young Blvd Ste Wp1140, Oklahoma City, OK 73104. The listed phone number is (405) 271-4351.

What is Ivan Kozhulenko's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Ivan Kozhulenko enrolled in Medicare?

Yes. Ivan Kozhulenko is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ivan Kozhulenko's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Kozhulenko reassigns Medicare benefits to 3 organizations: Board Of Regents Of The University Of Oklahoma - Ou Physicians (Oklahoma City, OK), Ou Health Partners, Inc (Oklahoma City, OK) and Emergenchealth PLLC (Fort Worth, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivan Kozhulenko's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivan Kozhulenko accept?

Health plans from Blue Cross and Blue Shield of Oklahoma and Mending Health list Ivan Kozhulenko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ivan Kozhulenko affiliated with any hospitals?

According to CMS data, Ivan Kozhulenko is affiliated with O U Medical Center.

When was this NPI record last updated?

The NPPES record for Ivan Kozhulenko was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.