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ALICE M HUBBELL CRNA
NPI 1770514267
Nurse Anesthetist, Certified Registered in Dunwoody, GA

Active since July 05, 2006
92.93/100
CMS Quality Rating
4575 NORTH SHALLOWFORD ROAD, DUNWOODY, GA 30338(770) 454-4286(770) 454-4065 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Alice M Hubbell Crna NPPES

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

ALICE M HUBBELL CRNA (NPI 1770514267) is an individual nurse anesthetist, certified registered in Dunwoody, Georgia, licensed in Georgia (RN096514) and active in the NPI registry since July 2006. She is affiliated with Wellstar Kennestone Regional Medical Center and is a graduate of Other (1985).

NPPES Registry Identity

NPI1770514267
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameALICE M HUBBELLCredential: CRNA
Location Address4575 NORTH SHALLOWFORD ROADDunwoody, GA 30338
Mailing AddressPo Box 70128Marietta, GA 30007-0128 · (770) 578-1800 · Fax (770) 578-6168
Phone(770) 454-4286
Fax(770) 454-4065
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1770514267 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 GA · RN096514
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.
4575 NORTH SHALLOWFORD ROAD, Dunwoody, GA 30338
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Other Names 1

Former Name (1)Alice M Wendt

Other Identifiers 2

Medicare ID-Type Unspecified432CBVW10GA
Medicare UPINR81830

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alice M Hubbell Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749382315
PECOS Enrollment IDI20070228000343

Medicare Billing Reassignments

2

Medicare enrollment records show Alice Hubbell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellstar Medical Group, LLC
6.9 mi
Family Medicine
1010 JOHNSON FERRY RD
Marietta, GA 30068
  • Reassigned Medicare billing, Georgia enrollment
  • 3,885 clinicians in this Medicare group
NPI 1053617621 (770) 973-7302
Mak Anesthesia Holdings LLC
17 mi
Anesthesiology
1300 RIDENOUR BLVD NW STE 300
Kennesaw, GA 30152
  • Reassigned Medicare billing, Georgia enrollment
  • 629 clinicians in this Medicare group
NPI 1912452939 (770) 702-1806

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

Hospital Affiliations CMS Care Compare

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

Wellstar Kennestone Regional Medical Center

Acute Care Hospitals · Marietta, GA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110035
Location677 Church StreetMarietta, GA 30060 · Cobb County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 14

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

NITA M FITZGERALD CRNA
Nurse Anesthetist, Certified Registered
4575 NORTH SHALLOWFORD ROAD
DUNWOODY, GA 30338
Dekalb County (770) 454-4286
RICHARD A SHMERLING MD
Anesthesiology
4575 NORTH SHALLOWFORD ROAD
DUNWOODY, GA 30338
Dekalb County (770) 454-4286
MARTHA ADAMS CRNA
Nurse Anesthetist, Certified Registered
4575 NORTH SHALLOWFORD ROAD
DUNWOODY, GA 30338
Dekalb County (770) 454-4286
MARGARET OLSEN CRNA
Nurse Anesthetist, Certified Registered
4575 NORTH SHALLOWFORD ROAD
DUNWOODY, GA 30338
Dekalb County (770) 454-4286
KEITH HARLAN MD
Anesthesiology
4575 NORTH SHALLOWFORD ROAD
DUNWOODY, GA 30338
Dekalb County (770) 454-4286
KYRIAKOS TARASIDIS MD
Anesthesiology
4575 NORTH SHALLOWFORD ROAD
DUNWOODY, GA 30338
Dekalb County (770) 454-4286
SIDNEY M SIMPKINS MD
Anesthesiology
4575 NORTH SHALLOWFORD ROAD
DUNWOODY, GA 30338
Dekalb County (770) 454-4286
JAMES E HINKLE MD
Anesthesiology
4575 NORTH SHALLOWFORD ROAD
DUNWOODY, GA 30338
Dekalb County (770) 454-4286

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 Alice Hubbell's NPI number?

The NPI number for Alice Hubbell is 1770514267. It was assigned to this individual provider in the NPPES registry on July 5, 2006. The provider is also known as Alice M Wendt.

Where is Alice Hubbell located?

Alice Hubbell practices at 4575 North Shallowford Road, Dunwoody, GA 30338. The listed phone number is (770) 454-4286.

What is Alice Hubbell's specialty?

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

Is Alice Hubbell enrolled in Medicare?

Yes. Alice Hubbell is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alice Hubbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alice Hubbell reassigns Medicare benefits to 2 organizations: Wellstar Medical Group, LLC (Marietta, GA) and Mak Anesthesia Holdings LLC (Kennesaw, GA). 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 Alice Hubbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alice Hubbell affiliated with any hospitals?

According to CMS data, Alice Hubbell is affiliated with Wellstar Kennestone Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Alice Hubbell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.