KEITH W GREEN CRNA
NPI 1508920653
Nurse Anesthetist, Certified Registered in Jasper, IN
About Keith W Green Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH W GREEN CRNA (NPI 1508920653) is an individual nurse anesthetist, certified registered in Jasper, Indiana, licensed in Indiana (28138655A) and active in the NPI registry since December 2006. He is affiliated with Indiana University Health, maintains a secondary practice location in Martinsville, and is a graduate of Other (1997).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 5
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
Keith W Green 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.
Medicare Billing Reassignments
6Medicare enrollment records show Keith Green reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jasper, IN 47546
- Reassigned Medicare billing, Indiana enrollment
- 40 clinicians in this Medicare group
Paoli, IN 47454
- Reassigned Medicare billing, Indiana enrollment
- 52 clinicians in this Medicare group
Bedford, IN 47421
- Reassigned Medicare billing, Indiana enrollment
- 15 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 148 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Bradenton, FL 34208
- Reassigned Medicare billing, Indiana enrollment
- 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.
Indiana University Health
Acute Care Hospitals · Indianapolis, INIndiana University Health Bedford Hospital
Critical Access Hospitals · Bedford, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
JASPER, IN 47546
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 Keith Green's NPI number?
The NPI number for Keith Green is 1508920653. It was assigned to this individual provider in the NPPES registry on December 21, 2006.
Where is Keith Green located?
Keith Green practices at 800 W 9th St, Jasper, IN 47546. The listed phone number is (812) 482-0643.
What is Keith Green's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Keith Green enrolled in Medicare?
Yes. Keith Green 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 Keith Green's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Green reassigns Medicare benefits to 6 organizations: Ivory Coast Anesthesia Management LLC (Jasper, IN), Indiana University Health Paoli Inc (Paoli, IN), Indiana University Health Bedford, Inc (Bedford, IN), Indiana University Health, Inc (Indianapolis, IN), Iu Health Medical Group, LLC (Indianapolis, IN) and 1 more organization, 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 Keith Green's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Green accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource and Cigna Healthcare list Keith Green 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 Keith Green affiliated with any hospitals?
According to CMS data, Keith Green is affiliated with Indiana University Health and Indiana University Health Bedford Hospital.
When was this NPI record last updated?
The NPPES record for Keith Green was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Keith W Green, CRNA · NPI 1508920653
Nurse Anesthetist, Certified Registered physician in Jasper, Indiana. Individual provider, active in the CMS NPPES registry since December 21, 2006.
## Identity
- **NPI:** 1508920653 (Entity type: Individual)
- **Enumerated:** December 21, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 28138655A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 800 W 9TH ST, Jasper, IN 47546-2514
- **Phone:** (812) 482-0643 · **Fax:** (812) 482-0214
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Ivory Coast Anesthesia Management LLC (NPI 1083484000, Jasper, IN); Indiana University Health Paoli Inc (NPI 1457519324, Paoli, IN); Indiana University Health Bedford, Inc (NPI 1871036962, Bedford, IN); Indiana University Health, Inc (NPI 1962336479, Indianapolis, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** June 3, 2024
- **Other identifiers:** Medicaid 200157750A (IN); Other 28138655 (IN); Other 940070020 (IN); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1508920653) · Data from the CMS NPPES public registry.