Individual provider Active NPI

Lauren Koehring, PA-C

  • Surgical Physician Assistant
  • Indianapolis, IN
National Provider Identifier
1134948649
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
10004661A Issued in IN
Practice address
8051 S Emerson Ave Ste 365
Indianapolis, IN 46237-0011
Phone
(317) 851-2331
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10004661A IN Primary

Addresses

Primary practice location

8051 S Emerson Ave Ste 365
Indianapolis, IN 46237-0011

Mailing address

8051 S Emerson Ave Ste 365
Indianapolis, IN 46237-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241205004285 IN Practitioner - Physician Assistant 7810423431 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Surgery Associates SCGroup PAC ID 2860304102, 44 clinicians

Practice addresses (Care Compare)

801 Macarthur Blvd
Suite 204
Munster, IN 46321-2916
Phone (219) 836-4220

8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 865-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10004661AINMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiac Surgery Associates SC Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Oct 1, 2024 Accepting new patients
Major Hospital Past Accepting new patients

Locations

8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261

8051 S Emerson Ave
Ste 365
Indianapolis, IN 46237
Phone (317) 851-2331

801 MacArthur Blvd
Ste 204
Munster, IN 46321
Phone (219) 836-4220

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1134948649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 365",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462370011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8051 S EMERSON AVE STE 365",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462370011",
            "telephone_number": "317-851-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHRING",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10004661A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.