ALISHA KETTNER CRNA
NPI 1063713097
Nurse Anesthetist, Certified Registered in Hammond, IN

Q: What is Alisha Kettner's NPI number?

The NPI number for Alisha Kettner is 1063713097. It was assigned to this individual provider in the NPPES registry on November 8, 2010. The provider is also known as Alisha Lopatkiewicz Crna.

Q: What is Alisha Kettner's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Alisha Kettner was last updated on October 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 08, 2010Accepts Medicare Assignment

5454 HOHMAN AVE, HAMMOND, IN 46320(219) 933-2270(219) 852-2515 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Alisha Kettner Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISHA KETTNER CRNA (NPI 1063713097) is an individual nurse anesthetist, certified registered in Hammond, Indiana, licensed in Illinois (209009914) and active in the NPI registry since November 2010. She is affiliated with Duke University Hospital and is a graduate of Other (2010).

NPPES Registry Identity

NPI1063713097

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameALISHA KETTNERCredential: CRNA

Location Address5454 HOHMAN AVEHammond, IN 46320-1931

Mailing AddressPo Box 1000Dyer, IN 46311-0800 · (219) 864-2268 · Fax (219) 864-2649

Phone(219) 933-2270

Fax(219) 852-2515

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateNovember 8, 2010

Last NPPES UpdateOctober 31, 2017

✔ NPI 1063713097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in IL · 209009914✔ Licensed in IN · 28183842A

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

5454 HOHMAN AVE, Hammond, IN 46320

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Other Names 1

Former Name (1)Alisha Lopatkiewicz Crna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alisha Kettner Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466633789

PECOS Enrollment IDI20190225000543

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46320 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEAN M ROCHE CRNA

Nurse Anesthetist, Certified Registered