Individual provider Active NPI

Lisa Kay Keown, CRNA

  • Certified Registered Nurse Anesthetist
  • Indianapolis, IN
National Provider Identifier
1194156067
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28097300A Issued in IN
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

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q00372317OtherINRAILROAD PTAN
1102387917OtherINANTHEM PTAN
000001100047OtherINANTHEM PROVIDER NUMBER
000001664800OtherINANTHEM PTAN
300005321MedicaidIN

Other names 1

  • Lisa Kay Wall Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
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, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170816002890 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527286012 Reassigns benefits to 8 organizations
I20260312002017 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527286012 Reassigns benefits to 1 organization

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
Spartanburg Medical CenterGroup PAC ID 3072425297, 1,060 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Arnett Clinic LLCGroup PAC ID 0749184380, 401 clinicians

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 100Reported as group
Quality
62.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center CurrentSince Feb 1, 2026 Accepting new patients
Arnett Clinic, LLC CurrentSince Jul 10, 2017 Accepting new patients
Daviess County Hospital CurrentSince Jan 4, 2021 Accepting new patients
Iu Anesthesiology Associates, LLC CurrentSince Feb 2, 2024 Accepting new patients
Amsurg Indianapolis Anesthesia LLC CurrentSince Apr 1, 2021 Accepting new patients
Iu Health Medical Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2026 Accepting new patients
Spartanburg Medical Center CurrentSince Feb 1, 2026 Accepting new patients
Indiana Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 22, 2021 Accepting new patients
Arnett Clinic, LLC CurrentSince Jul 10, 2017 Accepting new patients
Aas Indiana LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 3, 2024 Accepting new patients
Indiana University Health Care Associates, Inc CurrentSince Jul 5, 2022 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Daviess County Hospital Nurse Anesthetist, Certified Registered CurrentSince Jan 4, 2021 Accepting new patients
Associated Anesthesiologists of Fort Wayne PC Nurse Anesthetist, Certified Registered CurrentSince Jun 19, 2018 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

  • Direct secure messaging: 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.

View all 17

Hospital & facility affiliations 5

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": "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.

Verify at the official NPI Registry.