MS. KELLEY E HUBBARD (CRNA MBA MS) – Certified Registered Nurse Anesthetist, NPI 1659348688

MS. KELLEY E HUBBARD (CRNA MBA MS) is a healthcare provider. based in Lawrenceville, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA MBA MS. They hold a License No. ARNP1183292 (FL). The NPI Number for MS. KELLEY E HUBBARD (CRNA MBA MS) is 1659348688

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. KELLEY E HUBBARD (CRNA MBA MS)
NPI
1659348688
Phone
(770) 277-3056
Address
575 PROFESSIONAL DR STE 165
Enumeration Date
8 March 2006
Last Update Date
14 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6784751606
Graduation Year
2002 (24 years ago)
PAC ID
0749387652
Group Practice PAC ID
0446516769
Professional Enrollment ID
I20160309002543
Address ID
GA300249117SU4275XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

Provider Addresses for MS. KELLEY E HUBBARD (CRNA MBA MS)

  • Professional Drive, Lawrenceville, Gwinnett County, Georgia, 30043:30096, United States

    LAWRENCEVILLE, GA 300463300

    Phone: (770) 277-3056

    Fax: (855) 204-5244

    Type: Mailing

  • 3193 HOWELL MILL RD NW STE 315

    ATLANTA, GA 303272100

    Phone: (888) 408-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $653.

Total Amount is formed as General ($653) + Research ($0) + Ownership ($0) = $653.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($322).

Total Amount

$653

General + Research + Ownership

Payments

33

Total payment records

General Amount

$653

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2016-03-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20160309002543ICertified Registered Nurse Anesthetist (Crna)GATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope8585$0
00813Anesthesia for procedure on small and large bowel using an endoscope4040$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2121$0
00812Anesthesia for exam of colon using an endoscope1616$0
View full utilization report →

Insurance plans in this area (ZIP 30046)

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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: 0446516769View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NM
Gastroenterology, AnesthesiologyMS
Anesthesiology AssistantGA
Anesthesiology AssistantGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)NC
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

How do payers reference MS. KELLEY E HUBBARD (CRNA MBA MS)?
For MS. KELLEY E HUBBARD (CRNA MBA MS), use NPI 1659348688 as the unique 10-digit identifier.
Is MS. KELLEY E HUBBARD (CRNA MBA MS) shown as active in public data?
Registry records indicate MS. KELLEY E HUBBARD (CRNA MBA MS) maintains an active NPI.
What expertise is attributed to MS. KELLEY E HUBBARD (CRNA MBA MS)?
MS. KELLEY E HUBBARD (CRNA MBA MS)'s specialty line reads Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MS. KELLEY E HUBBARD (CRNA MBA MS) located near Lawrenceville?
MS. KELLEY E HUBBARD (CRNA MBA MS) currently maps to Lawrenceville, Georgia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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