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

Ivan Kozhulenko, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1023592805

Ivan Kozhulenko, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Oklahoma City, Oklahoma. Qualified in 2018, 8 years ago. Practices with Ou Health Partners Inc, a 1,167-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
8
Licensed in
OK
In the registry since
2018
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

920 Stanton L Young Blvd Ste WP1140
Oklahoma City, OK 73104-5036
Phone: (405) 271-4351
Fax: (405) 271-8695
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 127368 (OK)

Record details

NPI number1023592805
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedSeptember 18, 2018
Last updated in NPPESDecember 17, 2020
Certification dateDecember 17, 2020

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Ou Health Partners Inc — 1167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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