Individual provider Active NPI

Kay Lynn Campbell, CRNA

  • Certified Registered Nurse Anesthetist
  • West Des Moines, IA
National Provider Identifier
1497853584
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D-062974 Issued in IA
Practice address
5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218
Phone
(515) 221-9222
Fax
(515) 221-0575
NPI assigned
Sep 20, 2006
Last updated
Jul 26, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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 D-062974 IA Primary

Addresses

Primary practice location

5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218

Mailing address

5901 Westown Pkwy
210
West Des Moines, IA 50266-8218
Phone (515) 221-9222

Other identifiers 1

IdentifierTypeStateIssuer
0515506MedicaidIA

Other names 1

  • Kay Lynn Clark Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519001060 IA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1850332867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.09 of 100Reported as group
Quality
75.46
Promoting interoperability
100
Improvement activities
40
Cost
81.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D-062974IAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Anesthesia & Pain Mngmt LLP CurrentSince Oct 30, 2006 Accepting new patients
Metro Anesthesia & Pain Mngmt LLP Nurse Anesthetist, Certified Registered CurrentSince Oct 30, 2006 Accepting new patients
Des Moines Anesthesiologists PC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

610 10th St
Perry, IA 50220
Phone (515) 465-3547

5901 Westown Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 224-1984

5901 Westown Pkwy
Ste 210
West Des Moines, IA 50266
Phone (515) 221-9222

6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1497853584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY",
            "address_2": "210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668218",
            "telephone_number": "515-221-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY",
            "address_2": "SUITE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668218",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "KAY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D-062974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0515506",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "CLARK",
            "middle_name": "LYNN",
            "credential": "CRNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; 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.