MARY C DUBOSE (CRNA) – Anesthesiology Physician, NPI 1730179789

MARY C DUBOSE (CRNA) is a healthcare provider. based in Lufkin, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. AP102594 (TX). The NPI Number for MARY C DUBOSE (CRNA) is 1730179789

Main info

Female
40 Years Of Experience
Accepts Medicare Assignment
Name
MARY C DUBOSE (CRNA)
NPI
1730179789
Phone
(936) 634-8434
Address
2 MEDICAL CENTER BLVD
Enumeration Date
21 October 2005
Last Update Date
4 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9366348311
Graduation Year
1986 (40 years ago)
PAC ID
4981694510
Group Practice PAC ID
1355606641
Professional Enrollment ID
I20070823000192
Address ID
TX759043120LU505XXDRXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

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Provider Addresses for MARY C DUBOSE (CRNA)

  • The Center for Sight, 2, Medical Center Boulevard, Lufkin, Angelina County, Texas, 75904, United States

    LUFKIN, TX 759043175

    Phone: (936) 634-8434

    Fax: (936) 639-2581

    Type: Mailing

  • Woodland Heights Medical Center, 505, South John Redditt Drive, Lufkin, Angelina County, Texas, 75904, United States

    LUFKIN, TX 759043120

    Phone: (936) 639-3036

    Fax: (936) 639-3064

    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: 2007-08-23

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
I20070823000192ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00142Anesthesia for lens surgery8887$0
00910Anesthesia for other procedure on urinary system through urethra1815$0
64488Injection of local anesthetic for abdominal wall pain control on both sides using imaging guidance1111$0
View full utilization report →

Insurance plans in this area (ZIP 75904)

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Provider's Procedures

MARY C DUBOSE (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETTX00142Anesthesia for lens surgery203171

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: 1355606641View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Anesthesiology, Interventional Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

Can I use this page to confirm MARY C DUBOSE (CRNA)'s NPI?
Yes. MARY C DUBOSE (CRNA) is listed with NPI 1730179789 in the public NPI dataset.
Can I rely on MARY C DUBOSE (CRNA) being an active provider?
As of the registry snapshot, MARY C DUBOSE (CRNA) is marked active.
What is MARY C DUBOSE (CRNA)'s specialty?
The listing groups MARY C DUBOSE (CRNA) with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Does MARY C DUBOSE (CRNA) list a practice location?
Patients near Lufkin, Texas may find MARY C DUBOSE (CRNA) in results; validate coverage separately.
Is the information about MARY C DUBOSE (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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