Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STRAVENS OMWENGA CRNA
NPI 1548779234
Nurse Anesthetist, Certified Registered in Carbondale, IL

Q: What is Stravens Omwenga's NPI number?

The NPI number for Stravens Omwenga is 1548779234. It was assigned to this individual provider in the NPPES registry on September 25, 2017.

Q: What is Stravens Omwenga'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 Stravens Omwenga was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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 September 25, 2017PECOS Enrolled

405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721 Get Directions Write a Review

NPPES record last updated: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 30, 2026, Oct 9, 2025, Aug 13, 2025 (3 updates tracked since 2025).

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About Stravens Omwenga Crna NPPES

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

STRAVENS OMWENGA CRNA (NPI 1548779234) is an individual nurse anesthetist, certified registered in Carbondale, Illinois, licensed in Illinois (209032524) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1548779234

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameSTRAVENS OMWENGACredential: CRNA

Location Address405 W JACKSON STCarbondale, IL 62901-1462

Mailing Address3909 Ruthridge DrPlano, TX 75074-7785 · (469) 733-2200

Phone(618) 549-0721

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 25, 2017

Last NPPES UpdateSeptember 30, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2026

✔ NPI 1548779234 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 IL · 209032524

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 ListedNurse PractitionerTaxonomy 363L00000X · License 112301 (NE)

405 W JACKSON ST, Carbondale, IL 62901

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Stravens Omwenga 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 ID547758781

PECOS Enrollment IDI20251021001794

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.

Hospital Affiliations CMS Care Compare 3

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

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140164

Location405 W JacksonCarbondale, IL 62901 · Jackson County

Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Belleville, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140185

Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

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.

MR. LUKAS WARD PA

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

RUPAL PARMAR M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

SCOTT A. COOPER M.D.

Emergency Medicine

405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901

Jackson County (618) 549-0721

LONG HA HUYNH M.D., PH.D.

Anesthesiology

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MS. BRITNEY NICOLE ARNOLD PA-C

Physician Assistant

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

MR. DAN EDWARD MILLER CRNA

Nurse Anesthetist, Certified Registered

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

KARA KUHLMAN

Pharmacist

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

AMANDA M RYDEN MD

Emergency Medicine

405 W JACKSON ST
CARBONDALE, IL 62901

Jackson County (618) 549-0721

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 Stravens Omwenga's NPI number?

The NPI number for Stravens Omwenga is 1548779234. It was assigned to this individual provider in the NPPES registry on September 25, 2017.

Where is Stravens Omwenga located?

Stravens Omwenga practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Stravens Omwenga's specialty?

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

Is Stravens Omwenga enrolled in Medicare?

Yes. Stravens Omwenga 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.

Is Stravens Omwenga affiliated with any hospitals?

According to CMS data, Stravens Omwenga is affiliated with St Anthonys Memorial Hospital, Memorial Hospital Of Carbondale and Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Stravens Omwenga was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.