Active NPI
Kay Lynn Campbell, CRNA
- Certified Registered Nurse Anesthetist
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- D-062974
- 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, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0515506 | Medicaid | IA |
Other names 1
- Kay Lynn Clark
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.09 of 100
- Quality
- 75.46
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-062974 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Anesthesia & Pain Mngmt LLP | Current | Accepting new patients | |
| Metro Anesthesia & Pain Mngmt LLP | Nurse Anesthetist, Certified Registered | Current | 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
- 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.
-
- Anesthesiology Physician
- West Des Moines, IA
- NPI 1609925627
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- West Des Moines, IA
- NPI 1013065747
-
- Anesthesiology Physician
- Des Moines, IA
- NPI 1073612016
Nurse Anesthetist, Certified Registered
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.