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

Active since September 25, 2017PECOS EnrolledAccepts Medicare Assignment
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: November 08, 2026.

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

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
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

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Stravens Omwenga reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
1201 RICKER DRIVE
Salem, IL 62881
  • Reassigned Medicare billing, Illinois enrollment
  • 35 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2023 VADALABENE DR STE 350
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 149 clinicians in this Medicare group
Anesthesiology
11133 DUNN RD
Saint Louis, MO 63136
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Midwest Anesthesia Providers Sc
  • 253 clinicians in this Medicare group
Anesthesiology
800 E CARPENTER ST
Springfield, IL 62769
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
Anesthesiology
2000 E LAMAR BLVD STE 400
Arlington, TX 76006
  • Reassigned Medicare billing, Illinois enrollment
  • 735 clinicians in this Medicare group

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 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.

Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Pharmacist
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901

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.

Which organizations bill Medicare for Stravens Omwenga's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stravens Omwenga reassigns Medicare benefits to 5 organizations: Salem Township Hospital (Salem, IL), G & G Anesthesia LLC (Maryville, IL), Midwest Anesthesia Providers S.C (Saint Louis, MO), North American Partners In Anesthesia (illinois), LLC (Springfield, IL) and Northstar Anesthesia Of Illinois, LLC (Arlington, 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 Stravens Omwenga's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 43 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.