NICOLE M CAMPBELL (CRNA) – Certified Registered Nurse Anesthetist, NPI 1154651925
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
512 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OR
Provider Addresses for NICOLE M CAMPBELL (CRNA)
400 9th St
Florence, OR 974397398
Phone: (541) 997-8412
Fax: (541) 997-1463
Type: Location
1700 E 19TH ST
THE DALLES, OR 97058
Phone: (541) 296-7760
Type: Location
3390, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083390
Phone: (541) 387-6455
Type: Mailing
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
PORTLAND, OR 972393011
Phone: (541) 387-6455
Type: Location
PO BOX 69355
BALTIMORE, MD 212649355
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-05-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150630003128 | I | Certified Registered Nurse Anesthetist (Crna) | WA | TBD |
| I20170516000584 | I | Certified Registered Nurse Anesthetist (Crna) | OR | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00812 | Anesthesia for exam of colon using an endoscope | 27 | 27 | $0 |
| 00142 | Anesthesia for lens surgery | 20 | 19 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 13 | 13 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 11 | 11 | $0 |
Insurance plans in this area (ZIP 97439)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| Family Practice, Hospitalist | WA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | WA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Internal Medicine | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| - | WA | |
| P O D I A T R Y | OK |
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