MRS. YASMINE N CAMPBELL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1124053103

MRS. YASMINE N CAMPBELL (CRNA) is a healthcare provider. based in Jonesboro, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 181585 (GA). The NPI Number for MRS. YASMINE N CAMPBELL (CRNA) is 1124053103

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
MRS. YASMINE N CAMPBELL (CRNA)
NPI
1124053103
Phone
(770) 478-9877
Address
405 ARROWHEAD BLVD
Enumeration Date
11 July 2006
Last Update Date
26 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9545875010
Graduation Year
2006 (20 years ago)
PAC ID
6608870274
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20070321000065
Address ID
FL333172835PL401XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

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Provider Addresses for MRS. YASMINE N CAMPBELL (CRNA)

  • Homegrown Orthodontics and Pediatric Dentistry, 405, Arrowhead Boulevard, Edgemoor Manor, Jonesboro, Clayton County, Georgia, 30236, United States

    SUITE C

    JONESBORO, GA 302361254

    Phone: (770) 478-9877

    Fax: (770) 478-2908

    Type: Location

  • 5232, Southwest 122nd Terrace, Flamingo Townhomes, Cooper City, Broward County, Florida, 33330, United States

    COOPER CITY, FL 333304264

    Phone: (954) 880-0709

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $117.

Total Amount is formed as General ($117) + Research ($0) + Ownership ($0) = $117.

Last reported payment date: 2024-01-24 • Largest payer in this snapshot: Medtronic, Inc. ($117).

Total Amount

$117

General + Research + Ownership

Payments

1

Total payment records

General Amount

$117

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-24

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$117
View all Open Payments →|Open Payments Risk Radar →

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: 2007-03-21

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070321000065ICertified Registered Nurse Anesthetist (Crna)FLTBD

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 30236)

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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: 3173429693View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL

Reviews

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Frequently asked questions

What identifier follows MRS. YASMINE N CAMPBELL (CRNA) across health systems?
The NPI 1124053103 uniquely identifies MRS. YASMINE N CAMPBELL (CRNA) in U.S. healthcare data.
Does the public listing show MRS. YASMINE N CAMPBELL (CRNA) as active?
MRS. YASMINE N CAMPBELL (CRNA)'s NPI record reflects an active status in NPPES.
What does the directory say MRS. YASMINE N CAMPBELL (CRNA) does?
Insurance directories may phrase it differently, but here MRS. YASMINE N CAMPBELL (CRNA) maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. YASMINE N CAMPBELL (CRNA)?
The directory associates MRS. YASMINE N CAMPBELL (CRNA) with Jonesboro, Georgia. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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