Jerald Dwight Campbell, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Emporia, KS
NPI 1346212073 · NPPES record last updated May 12, 2011
Key facts
- NPI
- 1346212073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 54148 (KS)
- Practice address
- 1201 W 12TH Ave
Emporia, KS 66801-2531 - Phone
- (620) 343-6800
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.14 of 100
- Quality
- 86.29
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.98 of 100
- Quality
- 74.5
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 54148 | KS | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emporia Anesthesia Associates PA | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| Liberal Anesthesia Consultants LLC | Past | Accepting new patients | |
| Central Kansas Anesthesia PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
1201 W 12th Ave
Emporia, KS 66801
Phone (620) 343-2376
1110 W 6th Ave
Emporia, KS 66801
Phone (620) 342-8748
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 54148 | KS | Yes |
Addresses
Primary practice location
1201 W 12TH Ave
Emporia, KS 66801-2531
Mailing address
1110 West 6TH Ave
Emporia, KS 66801-2531
Phone (620) 342-8748
Other providers in Emporia, KS
- Lisa D Brown
- Matthew Michael Buhrle
- Deborah M Burns
- Calm, LLC
- Bridget Camien
- Daniel Joel Canaday
- Carearc, Inc.
- Carearc, Inc.
- Carearc, Inc.
- Cas DDS PA
All providers in Emporia, KS · Certified Registered Nurse Anesthetist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.