Lisa Koop
Lisa Koop is registered under Certified Registered Nurse Anesthetist (CRNA) in Fort Wayne, Indiana. Qualified in 2022, 4 years ago. Practices with Anesthesia Dynamics LLC, a 880-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 4
- Licensed in
- IN
- In the registry since
- 2022
Practice location Address checks out
5050 N Clinton StFort Wayne, IN 46825-5886
Phone: (260) 484-8551
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 28193681A (IN) |
|---|
Record details
| NPI number | 1265160881 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 11, 2022 |
| Last updated in NPPES | August 11, 2022 |
| Certification date | August 11, 2022 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Anesthesia Dynamics Llc — 880 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 182 |
|---|---|
| Services billed | 184 |
| Average patient age | 72 |
Payments from drug and device companies, 2025
| Food and Beverage | $29 |
|---|
Practises at
- Lutheran Hospital Of Indiana Hospital · Fort Wayne, IN
- Owensboro Health Regional Hospital Hospital · Owensboro, KY
Colleagues at Anesthesia Dynamics LLC
- Lisa Ann Adams, CRNA Anesthesiology Physician · Tampa, FL
- Mr. Terry D Blankenship, CRNA Certified Registered Nurse Anesthetist · Navarre, FL
- Lauren Elizabeth Gatewood, MD Anesthesiology Physician · Jacksonville, FL
- Shelley J Kudialis, CRNA Certified Registered Nurse Anesthetist · Johnson City, TN
- Mrs. Josephine Isabell Medina, CRNA Certified Registered Nurse Anesthetist · Sunrise, FL
- Alfredo R. Sanchez, CRNA Certified Registered Nurse Anesthetist · Sunrise, FL
- Leonel Santiago, RN Certified Registered Nurse Anesthetist · Allentown, PA
- Andrew Schesser Certified Registered Nurse Anesthetist · Wesley Chapel, FL
- Dr. Adam Jacob Sugarman, MD Anesthesiology Physician · Miami Beach, FL
- Lindsey S Tranum, CRNA Certified Registered Nurse Anesthetist · Marianna, FL
- Loman Collin Trover, MD Anesthesiology Physician · Owensboro, KY
- Stacey Ann West, CRNA Certified Registered Nurse Anesthetist · Fort Walton Beach, FL
Other providers in Fort Wayne
-
William Lee Howard, CRNA
5050 N Clinton St, Fort Wayne, IN 46825-5886 · (260) 484-8551
-
Lori Elizabeth Jackson, CRNA
10315 Dawsons Creek Blvd Ste AB, Fort Wayne, IN 46825-1912 · (260) 436-7875
-
Dauda Jimoh
5050 N Clinton St, Fort Wayne, IN 46825-5822 · (260) 484-8551
-
Patrick Jomo
4628 Craftsbury Cir, Fort Wayne, IN 46818-2063 · (260) 418-8599
-
Ks Tko Anesthesia
1721 Magnavox Way Ste A, Fort Wayne, IN 46804-1537 · (260) 250-0001
-
Aaron Michael Lewis, CRNA
5050 N Clinton St, Fort Wayne, IN 46825-5886 · (260) 484-8551
-
Gregory A Louck, CRNA
5050 N Clinton St, Fort Wayne, IN 46825-5886 · (260) 484-8551
-
M B Fletcher PLLC
7747 W Jefferson Blvd Ste B, Fort Wayne, IN 46804-4135 · (260) 434-9104