Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Desiree Wickenhauser, CRNA

Individual provider Registered Nurse · NPI 1912453945

Desiree Wickenhauser, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Saint Louis, Missouri. Graduated from Southern Illinois University School of Medicine in 2016, 10 years ago. Practices with Mercy Clinic Springfield Communities, a 1,126-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
10
Trained at
Southern Illinois University School of Medicine
Licensed in
IL, MO
In the registry since
2016
Specialties on file
4
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone: (314) 203-3041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9515 Holy Cross Ln, Breese, IL 62230-3618 — (618) 526-5829
  • 400 Maple Summit Rd, Jerseyville, IL 62052-2028 — (618) 498-6402

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209016063 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041419907 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 2011022892 (MO)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 2017002698 (MO)

Record details

NPI number1912453945
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedAugust 30, 2016
Last updated in NPPESMay 31, 2024
Certification dateMay 31, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolSOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Mercy Clinic Springfield Communities — 1126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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