Cynthia L Campbell, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Williamsport, MD

NPI 1396736088 · NPPES record last updated Dec 7, 2018

Key facts

NPI
1396736088
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
R069233 (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
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newbridge Anesthesia LLC (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 100 (group)
Quality
57.47
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in VA, MD, DC

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R069233MDMDCertified Registered Nurse Anesthetist
RN326841LPAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc Current Accepting new patients
First Colonies Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered Current
since Oct 7, 2020
Accepting new patients
Chambersburg Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients
Newbridge Surgery Center at Prince Frederick, LLC Past Accepting new patients
Anesthesia Associates of Athens, Inc Nurse Anesthetist, Certified Registered Past Accepting new patients
Winchester Anesthesiologists Inc Past Accepting new patients
Frederick Health Hospital Inc 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
#12202
Rockville, MD 20852
Phone (301) 881-7770

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

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

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

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
050514OtherPAMEDICARE GROUP #
G920-0086/85XWCUOtherPACAREFIRST
PEARLOtherPAHEALTH AMERICA
120420418OtherPADEPT OF LABOR
253320OtherPAUNISON
25-1716306OtherPAFIRST HEALTH
P00458420OtherPARAILROAD MEDICARE
25-1716306OtherPAHEALTHNET/TRICARE
50073154OtherPACAPITAL BLUECROSS
RN326841LOtherPALICENSE
102084316 0003MedicaidPA

Other names

  • Cynthia L Wason Former name

Other providers in Williamsport, MD

All providers in Williamsport, MD · Certified Registered Nurse Anesthetist in Maryland

Sources for this page

Verify at the official NPI Registry.