Individual provider Active NPI

Cynthia L Campbell, CRNA

  • Certified Registered Nurse Anesthetist
  • Williamsport, MD
National Provider Identifier
1396736088
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R069233 Issued in MD
Practice address
10212 Governor Lane Blvd Unit 1004
Williamsport, MD 21795
Phone
(301) 733-4200
Fax
(301) 223-7121
NPI assigned
Nov 2, 2005
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN326841L PA
Certified Registered Nurse Anesthetist 367500000X R069233 MD Primary

Addresses

Primary practice location

10212 Governor Lane Blvd Unit 1004
Williamsport, MD 21795

Mailing address

825 5TH Ave Ste 101
Chambersburg, PA 17201-4214
Phone (717) 262-9700

Other practice location 1

112 North Seventh Street
Chambersburg, PA 17201
Phone (717) 267-3000 ext. 1080

Other practice location 2

825 5th Ave
Chambersburg, PA 17201-4213
Phone (717) 262-9711

Other names 1

  • Cynthia L Wason Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD, DC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120130000734 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305858200 Reassigns benefits to 1 organization
I20131216000001 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305858200 Reassigns benefits to 2 organizations
I20201013001308 DC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305858200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newbridge Anesthesia LLCGroup PAC ID 6103971759, 2 clinicians

Practice addresses (Care Compare)

161 Fort Evans Rd NE
Suite 340
Leesburg, VA 20176-3369
Phone (301) 668-9988

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R069233MDMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc Current Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 7, 2020 Accepting new patients
Newbridge Surgery Center at Prince Frederick, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Winchester Anesthesiologists Inc Past Accepting new patients
Anesthesia Associates of Athens, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Chambersburg Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1396736088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 5TH AVE STE 101",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014214",
            "telephone_number": "717-262-9700",
            "fax_number": "717-262-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 GOVERNOR LANE BLVD UNIT 1004",
            "city": "WILLIAMSPORT",
            "state": "MD",
            "postal_code": "21795",
            "telephone_number": "301-733-4200",
            "fax_number": "301-223-7121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 North Seventh Street",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "17201",
            "country_code": "US",
            "telephone_number": "717-267-3000 x1080",
            "fax_number": "717-217-4218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "825 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172014213",
            "country_code": "US",
            "telephone_number": "717-262-9711",
            "fax_number": "717-262-9714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN326841L",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R069233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "WASON",
            "middle_name": "L",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Williamsport, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.