Individual provider Active NPI

Mikayla Lee Campbell, CRNA

  • Certified Registered Nurse Anesthetist
  • Fort Worth, TX
National Provider Identifier
1467143404
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1135184 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-3431
NPI assigned
May 19, 2023
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1135184 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

3700 Linden Ave
Fort Worth, TX 76107-4544
Phone (281) 786-7510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024000981 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 5092161349 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Anesthesiology of Texas PLLCGroup PAC ID 1254751407, 134 clinicians
Afterglow Anesthesia PLLCGroup PAC ID 8022543370, 64 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians
Northstar Anesthesia PAGroup PAC ID 7315907128, 231 clinicians

Practice addresses (Care Compare)

1500 S Main St
Fort Worth, TX 76104-4917
Phone (817) 702-3431

1545 E Southlake Blvd
Southlake, TX 76092-6422
Phone (817) 748-8784

1604 Rock Prairie Rd
College Station, TX 77845-8345
Phone (979) 764-5100

301 E Ovilla Rd
100 Baylor Scott and White
Red Oak, TX 75154-3818
Phone (469) 800-9200

6200 W Parker Rd
Plano, TX 75093-7939
Phone (972) 608-8000

8350 Dallas Pkwy
Suite 100
Frisco, TX 75034-5076
Phone (469) 287-8500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1135184TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince Sep 5, 2025 Accepting new patients
Healthtexas Provider Network CurrentSince Sep 5, 2025 Accepting new patients
Sound Physicians Anesthesiology of Texas PLLC CurrentSince Oct 10, 2023 Accepting new patients
Ad of Texas PLLC CurrentSince Jun 21, 2025 Accepting new patients
Healthtexas Provider Network Current Accepting new patients

Locations

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

6421 Saratoga Blvd
Bldg 105
Corpus Christi, TX 78414
Phone (361) 985-9300

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1800 Park Place Ave
Ft Worth, TX 76110
Phone (682) 703-5600

2001 W Rosedale St
Ft Worth, TX 76104
Phone (817) 877-4777

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

135 Bunton Creek Rd
Ste 201
Kyle, TX 78640
Phone (512) 314-5438

100 Medical Pkwy
Lakeway, TX 78738
Phone (512) 206-8100

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

301 E Ovilla Rd
Ste 100
Red Oak, TX 75154
Phone (469) 800-9200

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1684454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1467143404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 LINDEN AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074544",
            "telephone_number": "281-786-7510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MIKAYLA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-19",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1135184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; 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.