DESIREE WICKENHAUSER CRNA
NPI 1912453945
Nurse Anesthetist, Certified Registered in Saint Louis, MO

Active since August 30, 2016PECOS EnrolledAccepts Medicare Assignment
11133 DUNN RD, SAINT LOUIS, MO 63136(314) 203-3041 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2019, Mar 19, 2018, Aug 30, 2016 (3 updates tracked since 2016).

About Desiree Wickenhauser Crna NPPES

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

DESIREE WICKENHAUSER CRNA (NPI 1912453945) is an individual nurse anesthetist, certified registered in Saint Louis, Missouri, licensed in Illinois (209016063) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1912453945
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameDESIREE WICKENHAUSERCredential: CRNA
Location Address11133 DUNN RDSaint Louis, MO 63136-6163
Mailing Address11133 Dunn RdSaint Louis, MO 63136-6163
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2016
Enumeration DateAugust 30, 2016
Last NPPES UpdateMay 31, 20243 updates tracked since enumeration
NPPES CertifiedMay 31, 2024
✔ NPI 1912453945 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
Licenses✔ Licensed in IL · 209016063✔ Licensed in MO · 2017002698
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 041419907 (IL), 2011022892 (MO)
11133 DUNN RD, Saint Louis, MO 63136

Secondary Practice Locations 2

Location 19515 Holy Cross LnBreese, IL 62230-3618 · Phone (618) 526-5829
Location 2400 Maple Summit RdJerseyville, IL 62052-2028 · Phone (618) 498-6402

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

Desiree Wickenhauser 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 ID8628351798
PECOS Enrollment IDI20170215002088, I20170707001493
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

6

Medicare enrollment records show Desiree Wickenhauser reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
11133 DUNN RD
Saint Louis, MO 63136
  • Reassigned Medicare billing, Illinois and Missouri enrollments
  • Medicare enrollment name: Midwest Anesthesia Providers Sc
  • 253 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
8637 DELMAR BLVD
Saint Louis, MO 63124
  • Reassigned Medicare billing, Missouri enrollment
  • 2 clinicians in this Medicare group
Anesthesiology
3550 MCKELVEY ROAD, PREMIER SURGERY CENTER
Bridgetown, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 49 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
2810 FRANK SCOTT PKWY W STE 716
Belleville, IL 62223
  • Reassigned Medicare billing, Illinois enrollment
  • 11 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
Family Medicine
3231 S NATIONAL AVE STE 220
Springfield, MO 65807
  • Reassigned Medicare billing, Missouri enrollment
  • 1,565 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
34 services34 patients
Anesthesia for other closed procedure on chest 00520
Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.
11 services11 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Mercy Hospital Springfield

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260065
Location1235 E CherokeeSpringfield, MO 65804 · Greene County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63136 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

Anesthesiologist Assistant
11133 DUNN RD
SAINT LOUIS, MO 63136
Radiology (Diagnostic Radiology)
11133 DUNN RD, DEPT RADIOLOGY
SAINT LOUIS, MO 63136
Internal Medicine (Critical Care Medicine)
11133 DUNN RD
SAINT LOUIS, MO 63136
Pathology (Anatomic Pathology)
11133 DUNN RD, DEPT. OF PATHOLOGY
SAINT LOUIS, MO 63136
Nurse Practitioner (Family)
11133 DUNN RD, SUITE 2335
SAINT LOUIS, MO 63136
Emergency Medicine
11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136
Nurse Practitioner
11133 DUNN RD, DEPT EMERGENCY MED
SAINT LOUIS, MO 63136
Psychiatric Unit
11133 DUNN RD
SAINT LOUIS, MO 63136

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 Desiree Wickenhauser's NPI number?

The NPI number for Desiree Wickenhauser is 1912453945. It was assigned to this individual provider in the NPPES registry on August 30, 2016.

Where is Desiree Wickenhauser located?

Desiree Wickenhauser practices at 11133 Dunn Rd, Saint Louis, MO 63136. The listed phone number is (314) 203-3041.

What is Desiree Wickenhauser's specialty?

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

Is Desiree Wickenhauser enrolled in Medicare?

Yes. Desiree Wickenhauser 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 Desiree Wickenhauser's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Wickenhauser reassigns Medicare benefits to 6 organizations: Midwest Anesthesia Providers S.C (Saint Louis, MO), Ips Of St Louis LLC (Saint Louis, MO), Aim Anesthesia LLC (Bridgetown, MO), Anesthesia Of Southern Illinois LLC (Belleville, IL), Carle Health Medical Group (Urbana, IL) and 1 more organization, listed in the Medicare section above. 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 Desiree Wickenhauser's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Desiree Wickenhauser affiliated with any hospitals?

According to CMS data, Desiree Wickenhauser is affiliated with Carle Foundation Hospital and Mercy Hospital Springfield.

When was this NPI record last updated?

The NPPES record for Desiree Wickenhauser was last updated on May 31, 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.