Individual provider Active NPI

Ivana Maria Campanella, MSN, ANP-BC

  • Adult Health Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1124463906
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN0000017316 Issued in TN
Practice address
110 29TH Ave N
Ste 202
Nashville, TN 37203-1401
Phone
(615) 327-4304
Fax
(615) 327-7940
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN0000017316 TN Primary

Addresses

Primary practice location

110 29TH Ave N
Ste 202
Nashville, TN 37203-1401

Mailing address

110 29TH Ave N
Ste 202
Nashville, TN 37203-1401
Phone (615) 327-4304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130628000539 TN Practitioner - Nurse Practitioner 9234379017 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pain Medicine and Rehabilitation Group PCGroup PAC ID 7214921840, 9 clinicians

Practice addresses (Care Compare)

1633 W Main St
Suite 300
Lebanon, TN 37087-7800
Phone (615) 331-5536

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000017316TNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Medicine & Rehabilitation Group PC CurrentSince Sep 27, 2022 Accepting new patients
Anesthesia Medical Group, PC CurrentSince May 22, 2013 Accepting new patients
Anesthesia Medical Group, PC CurrentSince May 22, 2013 Accepting new patients

Locations

1805 Williamson Ct
Ste 200
Brentwood, TN 37027
Phone (615) 331-5536

1805 Williamson Ct
Brentwood, TN 37027
Phone (615) 331-5536

1633 W Main St
Ste 300
Lebanon, TN 37087
Phone (615) 331-5536

110 29th Ave N
Ste 202
Nashville, TN 37203
Phone (615) 327-7870

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAICCD/Endpoint/DAICCD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1124463906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N",
            "address_2": "STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031401",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 29TH AVE N",
            "address_2": "STE 202",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031401",
            "telephone_number": "615-327-4304",
            "fax_number": "615-327-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANELLA",
        "first_name": "IVANA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "MSN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN0000017316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.