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CHARLENE VELMA KOEPKE CRNA
NPI 1467563023
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Active since August 31, 2006
10010 KENNERLY RD, SAINT LOUIS, MO 63128(636) 386-7222(636) 386-7810 Get Directions Write a Review

NPPES record last updated: January 20, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charlene Velma Koepke Crna NPPES

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

CHARLENE VELMA KOEPKE CRNA (NPI 1467563023) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Missouri (094885) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1467563023
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameCHARLENE VELMA KOEPKECredential: CRNA
Location Address10010 KENNERLY RDSaint Louis, MO 63128-2106
Mailing Address250 Ne Mulberry, Suite 202Lee's Summit, MO 64086-4533 · (816) 389-4137 · Fax (816) 389-4140
Phone(636) 386-7222
Fax(636) 386-7810
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 20, 2010
✔ NPI 1467563023 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 MO · 094885
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.
10010 KENNERLY RD, Saint Louis, MO 63128
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Other Identifiers 2

Medicare PIN819060032MO
Medicaid912719150MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charlene Velma Koepke Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Charlene Koepke reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South County Anesthesia Associates, Ltd.
Same address
Anesthesiology
10010 KENNERLY RD
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • 106 clinicians in this Medicare group
NPI 1821031659 (636) 386-7222
Premier Anesthesia LLC
12 mi
Anesthesiology
760 OFFICE PKWY STE 100
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 56 clinicians in this Medicare group
NPI 1225073828 (314) 200-1462

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

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.

JEREMY STEPHEN COLYER AA
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (636) 386-7222
REHABILITATION MEDICINE SPECIALISTS, INC.
Physical Medicine & Rehabilitation
10010 KENNERLY RD, 4TH FLOOR - ACUTE REHAB
SAINT LOUIS, MO 63128
St. Louis County (314) 525-4522
DR. MICHAEL D. BAZZANI M.D.
Radiology (Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1165
DR. YUNHONG ZHANG MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1000
REBECCA SUSAN HOPKINS R.D., L.D.
Dietitian, Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1266
RAHUL GUPTA MD
Emergency Medicine
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1906
YIFU F ZHU AA
Anesthesiologist Assistant
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (314) 525-1000
LADONNA L DARKS CRNA
Nurse Anesthetist, Certified Registered
10010 KENNERLY RD
SAINT LOUIS, MO 63128
St. Louis County (636) 386-7222

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 Charlene Koepke's NPI number?

The NPI number for Charlene Koepke is 1467563023. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Charlene Koepke located?

Charlene Koepke practices at 10010 Kennerly Rd, Saint Louis, MO 63128. The listed phone number is (636) 386-7222.

What is Charlene Koepke's specialty?

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

Is Charlene Koepke enrolled in Medicare?

Yes. Charlene Koepke is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charlene Koepke's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charlene Koepke reassigns Medicare benefits to 2 organizations: South County Anesthesia Associates, Ltd. (Saint Louis, MO) and Premier Anesthesia LLC (Saint Louis, MO). 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 Charlene Koepke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Charlene Koepke was last updated on January 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.