Individual provider Active NPI

Sharon M Hubbard, CRNA

  • Certified Registered Nurse Anesthetist
  • Paoli, IN
National Provider Identifier
1053308106
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28101953A Issued in IN
Practice address
642 W Hospital Rd
Paoli, IN 47454-9672
Phone
(812) 723-2811
NPI assigned
Oct 4, 2005
Last updated
Mar 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3003872 KY
Certified Registered Nurse Anesthetist 367500000X 28101953A IN Primary

Addresses

Primary practice location

642 W Hospital Rd
Paoli, IN 47454-9672

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-4251

Other practice location 2

2900 W 16th St
Bedford, IN 47421-3510
Phone (812) 275-8780

Other identifiers 7

IdentifierTypeStateIssuer
2783438000OtherKYPASSPORT ADVANTAGE
50012803OtherKYPASSPORT
7100110280MedicaidKY
000000283663OtherKYBLUE SHIELD
430079779OtherRAILROAD MEDICARE
163460034OtherINMEDICARE
200515430MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address sharon.hubbard@hcin.cernerdirect.com
Direct Messaging Address shubbard@direct.iuhealth.org Direct
Direct Messaging Address shubbard@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040922000743 KY Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507834090 Reassigns benefits to 7 organizations
I20050705000257 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 6507834090 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Environ Anesthesia LLC.Group PAC ID 3870717754, 23 clinicians

Practice addresses (Care Compare)

7000 Houston Rd
Suite 19
Florence, KY 41042-4882
Phone (859) 341-5550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Union County Hospital, Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Bedford Ear Nose & Throat Clinic Inc Current Accepting new patients
Kentucky Anesthesia Group, PSC Nurse Anesthetist, Certified Registered CurrentSince Aug 22, 2016 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Iu Health Medical Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2026 Accepting new patients
University of Louisville Physicians, Inc. Current Accepting new patients
Deaconess Union County Hospital, Inc CurrentSince Oct 1, 2021 Accepting new patients
Deaconess Union County Hospital, Inc CurrentSince Oct 1, 2021 Accepting new patients
Iu Health Medical Group Riley Specialists, LLC CurrentSince Jan 1, 2026 Accepting new patients
Harrison County Hospital CurrentSince Mar 25, 2020 Accepting new patients
Providian Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 15, 2021 Accepting new patients
Environ Anesthesia, LLC. Nurse Anesthetist, Certified Registered CurrentSince Dec 20, 2019 Accepting new patients
Indiana University Health Bedford, Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 15, 2023 Accepting new patients
Pain Management Centers of America, PSC CurrentSince Oct 20, 2021 Accepting new patients
Sleepers Anesthesia Services, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2699 Solutions Ctr
Chicago, IL 60677

7752 Solution Ctr
Chicago, IL 60677

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830

1101 Professional Blvd
Ste 100
Evansville, IN 47714
Phone (812) 573-1207

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

705 Riley Hospital Dr
Indianapolis, IN 46202
Phone (317) 274-4779

2201 Green Valley Rd
New Albany, IN 47150
Phone (812) 949-1223

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

236 W Main St
Ste 200
Danville, KY 40422
Phone (859) 238-7746

7000 Houston Rd
Bldg 200
Florence, KY 41042
Phone (859) 653-7963

1 Audubon Plaza Dr
Louisville, KY 40217
Phone (502) 634-6767

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

5100 Outer Loop
Louisville, KY 40219
Phone (502) 968-6226

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

6400 Dutchmans Pkwy
Ste 60
Louisville, KY 40205
Phone (502) 791-8700

9202 Leesgate Rd
Louisville, KY 40222
Phone (502) 276-5554

1284 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-2323

4604 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-5000

67 Lakeview Dr
Paducah, KY 42001
Phone (270) 554-8373

9 Linville Dr
Paris, KY 40361
Phone (859) 987-3600

5000 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-7645

Interoperability endpoints

  • Direct secure messaging: sharon.hubbard@hcin.cernerdirect.com
  • Direct secure messaging: shubbard@direct.iuhealth.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1053308106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 W HOSPITAL RD",
            "city": "PAOLI",
            "state": "IN",
            "postal_code": "474549672",
            "telephone_number": "812-723-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 Hospital Dr NW",
            "address_purpose": "LOCATION",
            "city": "Corydon",
            "state": "IN",
            "postal_code": "471122164",
            "country_code": "US",
            "telephone_number": "812-738-4251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 W 16th St",
            "address_purpose": "LOCATION",
            "city": "Bedford",
            "state": "IN",
            "postal_code": "474213510",
            "country_code": "US",
            "telephone_number": "812-275-8780",
            "fax_number": "812-275-1343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "SHARON",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3003872",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28101953A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2783438000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "50012803",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100110280",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000283663",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430079779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "163460034",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200515430",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sharon.hubbard@hcin.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1141 Hospital Dr NW",
            "city": "Corydon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "471122164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shubbard@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 W 16th St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474213510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shubbard@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "642 W Hospital Rd",
            "city": "Paoli",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474549672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Paoli, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.