Individual provider Active NPI

Angela M Conklin, CRNA

  • Certified Registered Nurse Anesthetist
  • Paoli, IN
National Provider Identifier
1366773350
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28148386A Issued in IN
Practice address
642 W Hospital Rd
Paoli, IN 47454-9672
Phone
(812) 723-7453
Fax
(812) 723-7500
NPI assigned
Jan 15, 2010
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 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 687771 TX
Certified Registered Nurse Anesthetist 367500000X 28148386A IN Primary
Certified Registered Nurse Anesthetist 367500000X 3011331 KY

Addresses

Primary practice location

642 W Hospital Rd
Paoli, IN 47454-9672

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

2900 16th St
Bedford, IN 47421-3510
Phone (812) 276-4378

Other practice location 2

3920 Dutchmans Ln
Louisville, KY 40207-4702
Phone (502) 852-5851

Other identifiers 1

IdentifierTypeStateIssuer
1102279888OtherINANTHEM PTAN

Other names 1

  • Angela Conklin Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ahiggs@direct.iuhealth.org Direct
Direct Messaging Address ahiggs@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170914003606 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800921875 Reassigns benefits to 6 organizations
I20180502000758 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6800921875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2900 16TH St
Bedford, IN 47421-3510
Phone (812) 275-1200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3011331KYMDCertified Registered Nurse Anesthetist
687771TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
John Kenyon American Eye Institute LLC CurrentSince Feb 1, 2022 Accepting new patients
Eye Surgery Center of New Albany, LLC CurrentSince Jan 7, 2022 Accepting new patients
Anesthesia Care Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 1, 2020 Accepting new patients
Ema Anesthesia, PSC Nurse Anesthetist, Certified Registered CurrentSince Dec 7, 2024 Accepting new patients
John Kenyon American Eye Institute, LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Iu Health Medical Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
Indiana University Health Paoli Inc CurrentSince Apr 20, 2019 Accepting new patients
Louisville Anesthesia Provision LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2023 Accepting new patients
Eye Surgery Center of New Albany, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 7, 2022 Accepting new patients
Indiana University Health Paoli Inc CurrentSince Apr 20, 2019 Accepting new patients
Indiana University Health Bedford, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 3, 2025 Accepting new patients
Lec Ancillary PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 6, 2018 Accepting new patients
Louisville Endoscopy Center, PLLC PastSince Apr 6, 2018 Accepting new patients
Harlingen Anesthesia Associates Past Accepting new patients
Advanced Regional Surgery Center, LLC Past Accepting new patients
RGV Pain Management PLLC Past Accepting new patients

Locations

2699 Solutions Ctr
Chicago, IL 60677

7992 Solution Ctr
Chicago, IL 60677

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

3135 Middle Rd
Columbus, IN 47203
Phone (812) 373-7777

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

801 Saint Marys Dr
Ste 205W
Evansville, IN 47714
Phone (812) 477-6103

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

647 2nd St
Ste A
Jasper, IN 47546
Phone (812) 477-6103

360 Missouri Ave
Bldg 19A
Jeffersonville, IN 47130

2031 Jeffersonville Commons Dr
Jeffersonvlle, IN 47130
Phone (502) 409-6898

360 Missouri Ave
Ste 102
Jeffersonvlle, IN 47130
Phone (502) 364-0902

3605 Northgate Ct
Ste 102
New Albany, IN 47150
Phone (812) 944-4263

520 W 1st St
New Albany, IN 47150
Phone (812) 258-3048

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

101 Financial Pl
Ste B103
Elizabethtown, KY 42701
Phone (270) 307-8177

2000 Tunnel Hill Rd
Elizabethtown, KY 42701
Phone (270) 304-2520

1169 Eastern Pkwy
Ste 400
Louisville, KY 40217
Phone (502) 276-5554

1400 Poplar Level Rd
Ste 2
Louisville, KY 40217
Phone (502) 452-9567

3920 Dutchmans Ln
Louisville, KY 40207
Phone (502) 259-6000

Interoperability endpoints

  • Direct secure messaging: ahiggs@direct.iuhealth.org

Organizations & group practices 16

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

View all 16

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": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1366773350",
    "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": "642 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549672",
            "telephone_number": "812-723-7453",
            "fax_number": "812-723-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 16th St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474213510",
            "country_code": "US",
            "telephone_number": "812-276-4378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3920 Dutchmans Ln",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402074702",
            "country_code": "US",
            "telephone_number": "502-852-5851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONKLIN",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "687771",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28148386A",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3011331",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1102279888",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahiggs@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "642 W Hospital Rd",
            "city": "Paoli",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474549672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahiggs@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 16th St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474213510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CONKLIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paoli, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.