MARY C DUBOSE CRNA
NPI 1730179789
Nurse Anesthetist, Certified Registered in Lufkin, TX

Active since October 21, 2005Accepts Medicare Assignment
505 S JOHN REDDITT DR, LUFKIN, TX 75904(936) 639-3036(936) 639-3064 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 4, 2025, Sep 20, 2016 (2 updates tracked since 2016).

About Mary C Dubose Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY C DUBOSE CRNA (NPI 1730179789) is an individual nurse anesthetist, certified registered in Lufkin, Texas, licensed in Texas (AP102594) and active in the NPI registry since October 2005. She is affiliated with Woodland Heights Medical Center and is a graduate of Other (1986).

NPPES Registry Identity

NPI1730179789
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMARY C DUBOSECredential: CRNA
Location Address505 S JOHN REDDITT DRLufkin, TX 75904-3120
Mailing Address2 Medical Center BlvdLufkin, TX 75904-3175 · (936) 634-8434 · Fax (936) 639-2581
Fax(936) 639-3064
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateOctober 21, 2005
Last NPPES UpdateFebruary 4, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1730179789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TX · AP102594
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
505 S JOHN REDDITT DR, Lufkin, TX 75904

Other Identifiers 2

Medicaid088573301TX
Other513353TX · License

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary C Dubose Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981694510
PECOS Enrollment IDI20070823000192

Medicare Billing Reassignments

3

Medicare enrollment records show Mary Dubose reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
2 MEDICAL CENTER BLVD
Lufkin, TX 75904
  • Reassigned Medicare billing, Texas enrollment
  • 17 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3610 N UNIVERSITY DR
Nacogdoches, TX 75965
  • Reassigned Medicare billing, Texas enrollment
  • 118 clinicians in this Medicare group
Anesthesiology
4100 INTERNATIONAL PLZ STE 800
Fort Worth, TX 76109
  • Reassigned Medicare billing, Texas enrollment
  • 1,612 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
90 services84 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Woodland Heights Medical Center

Acute Care Hospitals · Lufkin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450484
Location505 South John Redditt DriveLufkin, TX 75904 · Angelina County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
505 S JOHN REDDITT DR
LUFKIN, TX 75904
Physical Medicine & Rehabilitation
505 S JOHN REDDITT DR
LUFKIN, TX 75904
Anesthesiology
505 S JOHN REDDITT DR
LUFKIN, TX 75904
Emergency Medicine
505 S JOHN REDDITT DR
LUFKIN, TX 75904
Dietitian, Registered
505 S JOHN REDDITT DR
LUFKIN, TX 75904
Social Worker
505 S JOHN REDDITT DR
LUFKIN, TX 75904
Licensed Vocational Nurse
505 S JOHN REDDITT DR
LUFKIN, TX 75904
Anesthesiology
505 S JOHN REDDITT DR
LUFKIN, TX 75904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Dubose's NPI number?

The NPI number for Mary Dubose is 1730179789. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Mary Dubose located?

Mary Dubose practices at 505 S John Redditt Dr, Lufkin, TX 75904. The listed phone number is (936) 639-3036.

What is Mary Dubose's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Mary Dubose enrolled in Medicare?

Yes. Mary Dubose is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Mary Dubose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Dubose reassigns Medicare benefits to 3 organizations: The Center For Sight, PA (Lufkin, TX), Grasshopper Anesthesia Services PLLC (Nacogdoches, TX) and Emergenchealth PLLC (Fort Worth, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Dubose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Dubose accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and CHRISTUS Health Plan list Mary Dubose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Dubose affiliated with any hospitals?

According to CMS data, Mary Dubose is affiliated with Woodland Heights Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Dubose was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.