LISA KOOP
NPI 1265160881
Nurse Anesthetist, Certified Registered in Fort Wayne, IN
About Lisa Koop NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA KOOP (NPI 1265160881) is an individual nurse anesthetist, certified registered in Fort Wayne, Indiana, licensed in Indiana (28193681A) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Lutheran Hospital Of Indiana, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lisa Koop 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.
Medicare Billing Reassignments
7Medicare enrollment records show Lisa Koop reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Wayne, IN 46804
- Reassigned Medicare billing, Indiana enrollment
- 138 clinicians in this Medicare group
South Bend, IN 46635
- Reassigned Medicare billing, Indiana enrollment
- 27 clinicians in this Medicare group
Toledo, OH 43604
- Reassigned Medicare billing, Ohio enrollment
- 1,072 clinicians in this Medicare group
Lexington, KY 40509
- Reassigned Medicare billing, Kentucky enrollment
- 462 clinicians in this Medicare group
Newburgh, IN 47630
- Reassigned Medicare billing, Indiana enrollment
- 717 clinicians in this Medicare group
Owensboro, KY 42303
- Reassigned Medicare billing, Kentucky enrollment
- 137 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Indiana and Kentucky enrollments
- 157 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lutheran Hospital Of Indiana
Acute Care Hospitals · Fort Wayne, INOwensboro Health Regional Hospital
Acute Care Hospitals · Owensboro, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46825 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lisa Koop's NPI number?
The NPI number for Lisa Koop is 1265160881. It was assigned to this individual provider in the NPPES registry on August 11, 2022.
Where is Lisa Koop located?
Lisa Koop practices at 5050 N Clinton St, Fort Wayne, IN 46825. The listed phone number is (260) 484-8551.
What is Lisa Koop's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Lisa Koop enrolled in Medicare?
Yes. Lisa Koop is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Lisa Koop's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Koop reassigns Medicare benefits to 7 organizations: Associated Anesthesiologists Of Fort Wayne PC (Fort Wayne, IN), Northern Indiana Anesthesia Associates, LLC (South Bend, IN), Promedica Central Physicians (Toledo, OH), Commonwealth Anesthesia, Psc (Lexington, KY), Deaconess Hospital, Inc (Newburgh, IN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Koop's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Koop accept?
Health plans from CareSource, Paramount and Priority Health list Lisa Koop as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Lisa Koop affiliated with any hospitals?
According to CMS data, Lisa Koop is affiliated with Lutheran Hospital Of Indiana and Owensboro Health Regional Hospital.
When was this NPI record last updated?
The NPPES record for Lisa Koop was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lisa Koop · NPI 1265160881
Nurse Anesthetist, Certified Registered physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since August 11, 2022.
## Identity
- **NPI:** 1265160881 (Entity type: Individual)
- **Enumerated:** August 11, 2022
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 28193681A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 5050 N CLINTON ST, Fort Wayne, IN 46825-5886
- **Phone:** (260) 484-8551
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Associated Anesthesiologists Of Fort Wayne PC (NPI 1538159140, Fort Wayne, IN); Northern Indiana Anesthesia Associates, LLC (NPI 1033891510, South Bend, IN); Promedica Central Physicians (NPI 1043270150, Toledo, OH); Commonwealth Anesthesia, Psc (NPI 1437196300, Lexington, KY); Deaconess Hospital, Inc (NPI 1174007132, Newburgh, IN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1265160881) · Data from the CMS NPPES public registry.