HOLLY CHRISTINA STUBBS (CRNA) – Certified Registered Nurse Anesthetist, NPI 1194062471

HOLLY CHRISTINA STUBBS (CRNA) is a healthcare provider. based in Saint simons island, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 217065 (GA). The NPI Number for HOLLY CHRISTINA STUBBS (CRNA) is 1194062471

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY CHRISTINA STUBBS (CRNA)
NPI
1194062471
Phone
(803) 238-6913
Address
174 BUTLER LAKE DR
Enumeration Date
7 January 2013
Last Update Date
8 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6206727451
Graduation Year
2012 (14 years ago)
PAC ID
9335385608
Group Practice PAC ID
1254751407
Professional Enrollment ID
I20200109001923
Address ID
KS671242903PR200XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

1,775 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MO

Provider Addresses for HOLLY CHRISTINA STUBBS (CRNA)

  • 174 BUTLER LAKE DR

    SAINT SIMONS ISLAND, GA 315225437

    Phone: (803) 238-6913

    Type: Mailing

  • 4741 S COCHISE DR

    INDEPENDENCE, MO 640556974

    Phone: (816) 478-1230

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140508001666ICertified Registered Nurse Anesthetist (Crna)FLTBD
I20200109001923ICertified Registered Nurse Anesthetist (Crna)KSTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31522)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254751407View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YTX
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

What identifier follows HOLLY CHRISTINA STUBBS (CRNA) across health systems?
The NPI 1194062471 uniquely identifies HOLLY CHRISTINA STUBBS (CRNA) in U.S. healthcare data.
Should I treat HOLLY CHRISTINA STUBBS (CRNA) as an active provider?
Patients and plans typically see HOLLY CHRISTINA STUBBS (CRNA) as active in the national extract.
Which specialty label fits HOLLY CHRISTINA STUBBS (CRNA)?
NPPES ties HOLLY CHRISTINA STUBBS (CRNA) to Certified Registered Nurse Anesthetist in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to HOLLY CHRISTINA STUBBS (CRNA)?
The directory associates HOLLY CHRISTINA STUBBS (CRNA) with Saint Simons Island, Georgia. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.