Active NPI
Brian Koonce, CRNA
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28303478A
- Practice address
- 7150 Clearvista Dr
Indianapolis, IN 46256-1695 - Phone
- (317) 621-5890
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28303478A | IN | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | R0081970 | OK |
Addresses
Primary practice location
7150 Clearvista Dr
Indianapolis, IN 46256-1695
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547
Other practice location 1
1201 7th St SE
Decatur, AL 35601-3337
Phone (256) 341-2280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 445-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0081970 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Sound Physicians Anesthesiology of Texas PLLC | Current | Accepting new patients | |
| Carson Tahoe Regional Healthcare | Current | Accepting new patients | |
| Carson Tahoe Regional Healthcare | Current | Accepting new patients | |
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Carson Tahoe Physician Hospital Organization, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesiology Services Network LTD | Past | Accepting new patients |
Locations
1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149
2000 E Lamar Blvd
Ste 400
Arlington, TX 76006
Phone (817) 861-3994
1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431
909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060
2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777
100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555
6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000
2555 Jimmy Johnson Blvd
#O
Port Arthur, TX 77640
Phone (409) 724-7389
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365
Organizations & group practices 7
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.
-
- Anesthesiology Physician
- Carson City, NV
- NPI 1063169829
Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1912978610
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Fort Worth, TX
- NPI 1295356277
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1821076779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1326036070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890",
"telephone_number": "317-621-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7150 CLEARVISTA DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561695",
"telephone_number": "317-621-5890"
}
],
"practiceLocations": [
{
"address_1": "1201 7th St SE",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "AL",
"postal_code": "356013337",
"country_code": "US",
"telephone_number": "256-341-2280",
"fax_number": "256-341-2278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOONCE",
"first_name": "BRIAN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28303478A",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "R0081970",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 30, 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.