Individual provider Active NPI

John Eric Campbell, CRNA

  • Certified Registered Nurse Anesthetist
  • Roanoke Rapids, NC
National Provider Identifier
1447449962
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
215892 Issued in NC
Practice address
250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone
(252) 535-8185
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 100840 WV
Certified Registered Nurse Anesthetist 367500000X APRN.CRNA.17551 OH
Certified Registered Nurse Anesthetist 367500000X 215892 NC Primary

Addresses

Primary practice location

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914

Mailing address

904 Stoney Brook Dr
Roanoke Rapids, NC 27870
Phone (724) 972-9487

Other practice location 1

327 Medical Park Dr
Bridgeport, WV 26330-9006
Phone (681) 342-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, PA, OH, WV4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20080326000263 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002992401 Reassigns benefits to 2 organizations
I20140228001794 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002992401 Reassigns benefits to 1 organization
I20151023001772 OH Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002992401 Reassigns benefits to 3 organizations
I20181019001896 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002992401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
596NCMDClinical Nurse Specialist
APRN.CRNA.17551OHMDCertified Registered Nurse Anesthetist
100840WVMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina Health - Heritage Inc CurrentSince Jul 19, 2009 Accepting new patients
Northstar Anesthesia of Ohio LLC CurrentSince Oct 9, 2015 Accepting new patients
Promedica Central Physicians CurrentSince Jul 1, 2019 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 1, 2018 Accepting new patients
Nash Hospitals Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 27, 2009 Accepting new patients
Northern Ohio Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2016 Accepting new patients
Nash Hospitals Inc CurrentSince Apr 27, 2009 Accepting new patients
East Carolina Health - Heritage Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 19, 2009 Accepting new patients
Promedica Central Physicians CurrentSince Jul 1, 2019 Accepting new patients
Northstar Anesthesia of Pennsylvania, LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 4, 2013 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 1, 2018 Accepting new patients

Locations

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700

1111 Hayes Ave
Sandusky, OH 44870
Phone (419) 557-7455

2615 E High St
Springfield, OH 45505
Phone (888) 861-3994

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

916 W Main St
Bridgeport, WV 26330
Phone (304) 842-1034

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1447449962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 STONEY BROOK DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "27870",
            "telephone_number": "724-972-9487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SMITH CHURCH RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704914",
            "telephone_number": "252-535-8185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgeport",
            "state": "WV",
            "postal_code": "263309006",
            "country_code": "US",
            "telephone_number": "681-342-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "JOHN",
        "middle_name": "ERIC",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "100840",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OH",
            "license": "APRN.CRNA.17551",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "215892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.