Active NPI
Kelsea Jo Lucas, CRNA
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28215728A
- Practice address
- 1701 N Senate Blvd
Indianapolis, IN 46202-1239 - Phone
- (317) 274-0275
- Fax
- (317) 274-0256
- NPI assigned
- May 25, 2021
- Sex
- Female
- 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 | AC003795 | MD | |
| Certified Registered Nurse Anesthetist | 367500000X | 28215728A | IN | Primary |
Addresses
Primary practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-8667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300076762 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | klucas@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Iu Anesthesiology Associates, LLC | Current | Accepting new patients | |
| Maryland Expresscare LLC | Current | Accepting new patients | |
| University of Maryland Medical System Corporation | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Shock Trauma Associates, P.a. | Past | Accepting new patients |
Locations
1130 W Michigan St
Indianapolis, IN 46202
Phone (317) 274-0076
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793
Organizations & group practices 5
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Indianapolis, IN
- NPI 1285684407
-
- Certified Registered Nurse Anesthetist
- Baltimore, MD
- NPI 1508807355
Nurse Anesthetist, Certified Registered
-
dba Shock Trauma Associates
- Emergency Care Clinic/Center
- Baltimore, MD
- NPI 1679512909
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1932774668",
"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": "1701 N SENATE BLVD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021239",
"telephone_number": "317-274-0275",
"fax_number": "317-274-0256"
}
],
"practiceLocations": [
{
"address_1": "22 S Greene St",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212011544",
"country_code": "US",
"telephone_number": "410-328-8667",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUCAS",
"first_name": "KELSEA",
"middle_name": "JO",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MD",
"license": "AC003795",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28215728A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300076762",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "klucas@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"
}
],
"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 Dec 5, 2024; 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.