Active NPI
Lisa Kay Keown, CRNA
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28097300A
- Practice address
- 550 University Blvd
Indianapolis, IN 46202-5149 - Phone
- (317) 577-4200
- Fax
- (317) 577-9503
- NPI assigned
- Dec 3, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209011058 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | 28097300A | IN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 24283 | SC |
Addresses
Primary practice location
550 University Blvd
Indianapolis, IN 46202-5149
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
25316 Sunderlin Rd
Plainfield, IL 60585-1592
Phone (815) 577-0423
Other practice location 2
7 Independence Pt Ste 300
Greenville, SC 29615-4569
Phone (864) 522-3700
Other practice location 3
2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000
Other practice location 4
5165 McCarty Ln
Lafayette, IN 47905-8764
Phone (765) 448-8000
Other practice location 5
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 274-0275
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q00372317 | Other | IN | RAILROAD PTAN |
| 1102387917 | Other | IN | ANTHEM PTAN |
| 000001100047 | Other | IN | ANTHEM PROVIDER NUMBER |
| 000001664800 | Other | IN | ANTHEM PTAN |
| 300005321 | Medicaid | IN |
Other names 1
- Lisa Kay Wall
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lkeown@direct.iuhealth.org | Direct | |
| Direct Messaging Address | lkeown@direct.iuhealth.org | Direct | |
| Direct Messaging Address | lkeown@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2600 Greenbush St
Lafayette, IN 47904-2477
Phone (765) 448-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 67.76 of 100
- Quality
- 62.07
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spartanburg Medical Center | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Daviess County Hospital | Current | Accepting new patients | |
| Iu Anesthesiology Associates, LLC | Current | Accepting new patients | |
| Amsurg Indianapolis Anesthesia LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Indiana Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Aas Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Indiana University Health Care Associates, Inc | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Daviess County Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Anesthesiologists of Fort Wayne PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Daviess County Hospital | Current | Accepting new patients | |
| University Medical Diagnostic Associates, Inc. | Past | Accepting new patients |
Locations
8057 Collection Ctr Dr
Chicago, IL 60693
8016 Reliable Pkwy
Chicago, IL 60686
5208 Reliable Pkwy
Chicago, IL 60686
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
4105 Dicke Rd
Fort Wayne, IN 46804
Phone (260) 268-1000
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
702 Van Buren St
Fort Wayne, IN 46802
Phone (260) 425-3000
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
9202 N Meridian St
Ste 150
Indianapolis, IN 46260
Phone (317) 841-2020
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 N Senate Blvd
Bldg C6
Indianapolis, IN 46202
Phone (913) 962-2000
1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076
8424 Naab Rd
Indianapolis, IN 46260
Phone (317) 871-7308
550 University Blvd
Indianapolis, IN 46202
Phone (217) 274-5000
5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448
2600 Greenbush St
Lafayette, IN 47904
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250
1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
Interoperability endpoints
- lkeown@direct.iuhealth.org
Organizations & group practices 17
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.
-
- Internal Medicine Physician
- Lafayette, IN
- NPI 1164490843
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Nurse Anesthetist, Certified Registered
-
- Neuromusculoskeletal Medicine & OMM Physician
- Spartanburg, SC
- NPI 1043309917
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1487056388
-
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
Nurse Anesthetist, Certified Registered
-
- Medical Specialty Clinic/Center
- Washington, IN
- NPI 1124231493
-
- General Practice Physician
- Indianapolis, IN
- NPI 1902032832
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1285684407
-
- Anesthesiology Physician
- Novi, MI
- NPI 1831827021
IN, Nurse Anesthetist, Certified Registered
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Rural Health Clinic/Center
- Montgomery, IN
- NPI 1336959279
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, IN
- NPI 1326296211
-
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1194156067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 UNIVERSITY BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462025149",
"telephone_number": "317-577-4200",
"fax_number": "317-577-9503"
}
],
"practiceLocations": [
{
"address_1": "25316 Sunderlin Rd",
"address_purpose": "LOCATION",
"city": "Plainfield",
"state": "IL",
"postal_code": "605851592",
"country_code": "US",
"telephone_number": "815-577-0423",
"fax_number": "815-577-2209",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7 Independence Pt Ste 300",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154569",
"country_code": "US",
"telephone_number": "864-522-3700",
"fax_number": "864-522-3705",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 Greenbush St",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479042477",
"country_code": "US",
"telephone_number": "765-448-8000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5165 McCarty Ln",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479058764",
"country_code": "US",
"telephone_number": "765-448-8000",
"fax_number": "765-838-4758",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1701 N Senate Blvd",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462021239",
"country_code": "US",
"telephone_number": "317-274-0275",
"fax_number": "317-274-0256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEOWN",
"first_name": "LISA",
"middle_name": "KAY",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-03",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209011058",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28097300A",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "SC",
"license": "24283",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PTAN",
"identifier": "Q00372317",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "1102387917",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000001100047",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PTAN",
"identifier": "000001664800",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300005321",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lkeown@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "550 University Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462025149",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lkeown@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1701 N Senate Blvd",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lkeown@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5165 McCarty Ln",
"city": "Lafayette",
"state": "IN",
"country_code": "US",
"postal_code": "479058764",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LISA",
"last_name": "WALL",
"middle_name": "KAY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.