MRS. HOLLY A WILKE CRNA
NPI 1386064996
Nurse Anesthetist, Certified Registered in Anna, IL

NPI Status: Active since April 22, 2014

Contact Information

517 N MAIN ST
ANNA, IL
ZIP 62906
Phone: (618) 833-4511

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  • Individual
  • Female
  • Years of Experience 12
  • Nurse Anesthetist, Certified Registered
  • Accepts Medicare Approved Payment

About HOLLY WILKE

This page provides the complete NPI Profile along with additional information for Holly Wilke, a provider established in Anna, Illinois with a medical specialization in Nurse Anesthetist, Certified Registered and more than 12 years of experience. The healthcare provider is registered in the NPI registry with number 1386064996 assigned on April 2014. The practitioner's primary taxonomy code is 367500000X with license number 209011563 (IL). The provider is registered as an individual and her NPI record was last updated May 2026.

NPI
1386064996
Provider Name
MRS. HOLLY A WILKE CRNA
Gender
Female
Entity Type
Individual
Location Address
517 N MAIN ST ANNA, IL 62906
Location Phone
(618) 833-4511
Mailing Address
517 N MAIN ST ANNA, IL 62906
Mailing Phone
(618) 833-4511
Mailing Fax
Medical School Name
OTHER
Graduation Year
2014
Is Sole Proprietor?
No
Enumeration Date
04-22-2014
Last Update Date
05-29-2026
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Location Map

Secondary Locations

  • 2 S Hospital Dr
    Murphysboro, IL 62966
    (618) 684-3156
  • 405 W Jackson St
    Carbondale, IL 62901
    (618) 549-0721
  • 818 E Broadway St
    Sparta, IL 62286
    (618) 443-1337
  • 201 S 14th St
    Herrin, IL 62948
    (618) 942-2171

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Anesthetist, Certified Registered

Taxonomy Code
367500000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
209011563
License State
IL
Taxonomy Description
(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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163W00000XNursing Service Providers

Registered Nurse

041.416466 (IL)

Medicare Participation & PECOS Enrollment Status

Holly Wilke is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 3173845302

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20141125001472

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Anesthesia for lens surgery

Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.

This service was performed 35 times for 34 patients

Anesthesia for other procedure on large bowel using an endoscope

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

This service was performed 12 times for 11 patients

Anesthesia for procedure on small and large bowel using an endoscope

Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.

This service was performed 11 times for 11 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Holly Wilke is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
GOOD SAMARITAN REGIONAL HLTH CENTER1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
(618) 899-1469Acute Care Hospitals
SPARTA COMMUNITY HOSPITAL818 E BROADWAY
SPARTA, IL 62286
(618) 443-2177Critical Access Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1386064996, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 0 → 0 4 → 8 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 6 + 6 + 0 + 6 + 8 + 9 + 1 + 8 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1386064996.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Home Health
517 N MAIN ST
ANNA, IL 62906
Emergency Medicine
517 N MAIN ST
ANNA, IL 62906
Physical Therapist
517 N MAIN ST
ANNA, IL 62906
Emergency Medicine
517 N MAIN ST
ANNA, IL 62906
Family Medicine
517 N MAIN ST
ANNA, IL 62906
Nurse Practitioner (Family)
517 N MAIN ST
ANNA, IL 62906
Pharmacy
517 N MAIN ST
ANNA, IL 62906
Physician Assistant
517 N MAIN ST
ANNA, IL 62906
Medicare Defined Swing Bed Unit
517 N MAIN ST
ANNA, IL 62906
General Acute Care Hospital (Critical Access)
517 N MAIN ST
ANNA, IL 62906
Nurse Practitioner
517 N MAIN ST
ANNA, IL 62906
Family Medicine
517 N MAIN ST
ANNA, IL 62906
Clinic/Center (Rural Health)
517 N MAIN ST
ANNA, IL 62906
Pharmacist
517 N MAIN ST
ANNA, IL 62906
Nurse Practitioner (Family)
517 N MAIN ST
ANNA, IL 62906
Physical Therapist
517 N MAIN ST
ANNA, IL 62906
Occupational Therapist
517 N MAIN ST
ANNA, IL 62906
Physical Therapy Assistant
517 N MAIN ST
ANNA, IL 62906
Speech-Language Pathologist
517 N MAIN ST
ANNA, IL 62906
Hospitalist
517 N MAIN ST
ANNA, IL 62906

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386064996, enumerated as an "individual" on April 22, 2014.

The provider is located at 517 N MAIN ST ANNA, IL 62906 and the phone number is (618) 833-4511.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Holly Wilke is affiliated with: GOOD SAMARITAN REGIONAL HLTH CENTER and SPARTA COMMUNITY HOSPITAL.