CHARISH LANE HUBBARD – Certified Registered Nurse Anesthetist, NPI 1780267864

Certified Registered Nurse Anesthetist

CHARISH LANE HUBBARD is a healthcare provider. based in Springville, Utah. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 12373948-8901 (UT). The NPI Number for CHARISH LANE HUBBARD is 1780267864

Main info

Female

Sole Proprietor

5 Years Of Experience

Accepts Medicare Assignment

Name

CHARISH LANE HUBBARD

NPI

1780267864

Phone

(208) 339-2952

Address

1143 W 150 N

Enumeration Date

5 May 2021

Last Update Date

14 September 2021

Doctor Profile

Medical School Name

KAISER PERMANENTE SCHOOL OF MEDICINE

Secondary Phone

8014657000

Graduation Year

2021 (5 years ago)

PAC ID

7416353057

Group Practice PAC ID

5991604829

Professional Enrollment ID

I20210908001226

Address ID

UT846511600PA1000X6XXX301

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience48

Completeness75

Years active:5State licenses:2Digital endpointsOther names

265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in UT

Provider Addresses for CHARISH LANE HUBBARD

1143 W 150 N
SPRINGVILLE, UT 846635558
Phone: (208) 339-2952
Mailing address matches the actual address.

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: 2021-09-08

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

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20210908001226	I	Certified Registered Nurse Anesthetist (Crna)	UT	TBD

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 84663)

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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: 5991604829View full group profile

Name	Specialty	State
MR. RICHARD GARY WATTS (CRNA)	Certified Registered Nurse Anesthetist (Crna)	ID
CHERIE CARPENTER BATE (CRNA)	-	UT
SAMANTHA BLAIR WALKER (CRNA)	Certified Registered Nurse Anesthetist (Crna)	UT
COLT BRUNSON (D.O.)	A N E S T H E S I O L O G Y	UT
MATTHEW DAVID NEWBURY (CRNA)	-	UT
SHANE VERL THEOBALD (CRNA)	-	UT
JASON D BROTHERSON (A,P.R.N.)	Certified Registered Nurse Anesthetist (Crna)	UT
JARED W OLLERTON (CRNA)	Certified Registered Nurse Anesthetist (Crna)	UT
PAUL B REICHERT (CRNA)	Certified Registered Nurse Anesthetist (Crna)	UT
JACOB MERRILL HUNSAKER (CRNA)	-	UT

Reviews

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Frequently asked questions

What identifier follows CHARISH LANE HUBBARD across health systems?

The NPI 1780267864 uniquely identifies CHARISH LANE HUBBARD in U.S. healthcare data.

Does the public listing show CHARISH LANE HUBBARD as active?

CHARISH LANE HUBBARD's NPI record reflects an active status in NPPES.

What services align with CHARISH LANE HUBBARD's listing?

CHARISH LANE HUBBARD's public classification highlights Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.

Which community is linked to CHARISH LANE HUBBARD?

CHARISH LANE HUBBARD shows a connection to Springville, Utah in registry-derived data.

Who maintains CHARISH LANE HUBBARD's record?

Providers certify NPPES data; CMS hosts the public file you are viewing.