Active NPI
Stephanie Harrison Hubbard, MD
- Anesthesiology Physician
- Muncie, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01080270A
- Practice address
- 2401 W University Ave
Muncie, IN 47303-3428 - Phone
- (765) 751-5404
- NPI assigned
- Dec 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0060671 | MD | |
| Anesthesiology Physician | 207L00000X | 01080270A | IN | Primary |
Addresses
Primary practice location
2401 W University Ave
Muncie, IN 47303-3428
Mailing address
1200 W White River Blvd
RCS Provider Enrollment
Muncie, IN 47303-4988
Phone (765) 254-4009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 403262400 | Medicaid | MD |
Other names 1
- Dr. Stephanie Harrison
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, DC, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080415000602 | NY | Practitioner - Anesthesiology | 6507847423 | Reassigns benefits to 1 organization |
| I20090309000325 | DC | Practitioner - Anesthesiology | 6507847423 | Reassigns benefits to 1 organization |
| I20190214000332 | IN | Practitioner - Anesthesiology | 6507847423 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Brody School of Medicine at East Carolina University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Upstate Anesthesia Services, P.C.
Practice addresses (Care Compare)
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6131
Hospital & facility affiliations
- Nassau University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.75 of 100
- Quality
- 70
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0060671 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Ball Memorial Physicians, Inc. | Anesthesiology | Current | Accepting new patients |
| Upstate Anesthesia Services, P.C. | Anesthesiology | Current | Accepting new patients |
| North American Partners in Anesthesia Maryland LLC | Anesthesiology | Past | Accepting new patients |
| Gwinnett Anesthesia Service PC | Anesthesiology | Past | Accepting new patients |
| Anesthesia Healthcare Partners, Inc. | Anesthesiology | Past | Accepting new patients |
Locations
3832 Solutions Ctr
Chicago, IL 60677
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141
1200 W White River Blvd
Muncie, IN 47303
Phone (765) 254-4009
2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862
450 Mamaroneck Ave
Ste 201
Harrison, NY 10528
Phone (877) 476-6642
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562630400000",
"number": "1679558787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W WHITE RIVER BLVD",
"address_2": "RCS PROVIDER ENROLLMENT",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473034988",
"telephone_number": "765-254-4009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W UNIVERSITY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-751-5404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "STEPHANIE HARRISON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-12",
"last_updated": "2019-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0060671",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01080270A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "403262400",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "HARRISON",
"prefix": "DR.",
"credential": "M. D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.