DOLLY M HAKANEN C.R.N.A.
NPI 1093791618
Nurse Anesthetist, Certified Registered in Green Bay, WI

Q: What is Dolly Hakanen's NPI number?

The NPI number for Dolly Hakanen is 1093791618. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Q: What is Dolly Hakanen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Dolly Hakanen was last updated on September 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment

835 S VAN BUREN ST, GREEN BAY, WI 54301(920) 433-0111 Get Directions Write a Review

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 13, 2024, Dec 22, 2021, Aug 24, 2018 (3 updates tracked since 2018).

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About Dolly M Hakanen C.r.n.a. NPPES

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

DOLLY M HAKANEN C.R.N.A. (NPI 1093791618) is an individual nurse anesthetist, certified registered in Green Bay, Wisconsin, licensed in Wisconsin (1831) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System -- Camden Campus, and maintains a secondary practice location in Marinette.

NPPES Registry Identity

NPI1093791618

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameDOLLY M HAKANENCredential: C.R.N.A.

Location Address835 S VAN BUREN STGreen Bay, WI 54301-3526

Mailing Address835 S Van Buren StGreen Bay, WI 54301-3526 · (920) 433-0111

Phone(920) 433-0111

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateDecember 15, 2005

Last NPPES UpdateSeptember 13, 20243 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2024

✔ NPI 1093791618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in WI · 1831

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 129204 (WI)

835 S VAN BUREN ST, Green Bay, WI 54301

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Secondary Practice Location 1

Location 13003 University DrMarinette, WI 54143-4110 · Phone (715) 735-4200

Other Identifiers 3

Medicaid10417016MI

Medicaid43385000WI

Other046382Crna Recertification Card

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

Dolly M Hakanen C.r.n.a. 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 ID7416937081

PECOS Enrollment IDI20050408000432, I20220810000634

Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Dolly Hakanen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Green Bay Anesthesia Assoc. Sc

Same address

Anesthesiology

835 S VAN BUREN ST
Green Bay, WI 54301

Reassigned Medicare billing, Wisconsin enrollment
129 clinicians in this Medicare group

NPI 1023065836 (920) 433-0111

St Clare Memorial Hospital, Inc

26 mi

Critical Access

855 S MAIN ST
Oconto Falls, WI 54154

Reassigned Medicare billing, Wisconsin enrollment
8 clinicians in this Medicare group

NPI 1851477913 (920) 846-3444

University Of Pittsburgh Physicians

464 mi

Neurological Surgery

425 W FIFTH ST, EAST LIVERPOOL CITY HOSPITAL
East Liverpool, OH 43920

Reassigned Medicare billing, Pennsylvania enrollment
7,114 clinicians in this Medicare group

NPI 1811945793 (330) 386-3195

Alta Anesthesia Associates Of Georgia, PC

985 mi

Anesthesiology

3100 KEMBLE AVE
Brunswick, GA 31520

Reassigned Medicare billing, Georgia enrollment
81 clinicians in this Medicare group

NPI 1275504771 (912) 264-0014

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

Hospital Affiliations CMS Care Compare 2

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

Southeast Georgia Health System -- Camden Campus

Acute Care Hospitals · Saint Marys, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110146

Location2000 Dan Proctor DriveSaint Marys, GA 31558 · Camden County

Emergency services

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520097

Location1726 Shawano AveGreen Bay, WI 54303 · Brown County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

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.

Other Providers at the Same Location NPPES 20

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

MARY LYNN BARTEL MD

Pediatrics

835 S VAN BUREN ST, ROOM 1041
GREEN BAY, WI 54301

Brown County (920) 496-4700

DR. EKMINI WIJESINGHE MD

Hospitalist

835 S VAN BUREN ST, ST VINCENT HOSPITAL
GREEN BAY, WI 54301

Brown County (920) 272-1586

SALLY SCHLISE MD

Radiology (Radiation Oncology)