Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keith W Green, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1508920653

Keith W Green, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Jasper, Indiana. Qualified in 1997, 29 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Indiana.

Years since qualifying
29
Licensed in
FL, IN
In the registry since
2006
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

800 W 9th St
Jasper, IN 47546-2514
Phone: (812) 482-0643
Fax: (812) 482-0214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2209 John R Wooden Dr, Martinsville, IN 46151-1840 — (765) 349-6744

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28138655A (IN)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 9261695 (FL)

Record details

NPI number1508920653
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedDecember 21, 2006
Last updated in NPPESJune 3, 2024
Certification dateJune 3, 2024
Mailing address2061 W Skyview Dr, Jasper, IN 47546-8214

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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