Walter Glenn Campbell, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3011785 Issued in KY

Practice address

225 Medical Center Dr Ste 405
Paducah, KY 42003-7914

Phone

(270) 441-4750

Fax

(270) 441-4770

NPI assigned

Aug 3, 2017

Last updated

Oct 6, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ferrell Hospital Community FoundationGroup PAC ID 1355389453, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ferrell Hospital Community Foundations Hospital, Eldorado, IL, CCN 141324

Merit-based Incentive Payment System (MIPS)

Final score

91.05 of 100Reported as apm

Quality

72.1

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ferrell Hospital Community Foundation

  • Critical Access Hospital
  • Eldorado, IL
  • NPI 1194713404
  Medicare reassignment Care Compare group NPD
• Ferrell Hospital Community Foundation

  dba Harrisburg Small Street Clinic

  • Multi-Specialty Clinic/Center
  • Harrisburg, IL
  • NPI 1124905351
  NPD
• Ferrell Hospital Community Foundation

  • Critical Access Hospital
  • Eldorado, IL
  • NPI 1871642439

  Nurse Anesthetist, Certified Registered

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ferrell Hospital Community Foundation

  dba Carmi Family Medicine

  • Rural Health Clinic/Center
  • Carmi, IL
  • NPI 1134650997

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  dba Harrisburg Family Medicine

  • Rural Health Clinic/Center
  • Harrisburg, IL
  • NPI 1184202392

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  • Critical Access Hospital
  • Eldorado, IL
  • NPI 1194713404
  Care Compare affiliation
• Ferrell Hospital Community Foundation

  dba Ferrell Hospital Family Practice

  • Rural Health Clinic/Center
  • Eldorado, IL
  • NPI 1457586620

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  dba McLeansboro Family Medicine

  • Rural Health Clinic/Center
  • McLeansboro, IL
  • NPI 1689217820

  Hospital

  Care Compare affiliation
• Ferrell Hospital Community Foundation

  dba Eldorado Family Medicine Clinic

  • Rural Health Clinic/Center
  • Eldorado, IL
  • NPI 1700011046

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1275057960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 405",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4750",
            "fax_number": "270-441-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 MEDICAL CENTER DR STE 405",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037914",
            "telephone_number": "270-441-4750",
            "fax_number": "270-441-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "WALTER",
        "middle_name": "GLENN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3011785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Calhoun, APRN
• Daniela Callejas Cardenas Callejas Cardenas
• Anwar Ralston Cameron, M.D., MBA
• Cora Campanello
• Mary Jo Campbell, PT
• Michael G. Canella, CRNA
• Dean Canestrini, CRNA
• Jamie Scot Canter, DC
• Johnna Renee Canter, LSW
• Melissa Carol Canter

• Certified Registered Nurse Anesthetist in Paducah, KY
• Providers in Paducah, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2017; 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.