Active NPI
Charles Ronald Campana, DNP, CRNA
- Certified Registered Nurse Anesthetist
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 147821
- Practice address
- 9205 SW Barnes Rd
Portland, OR 97225-6603 - Phone
- (503) 216-1234
- NPI assigned
- Sep 19, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 147821 | OR | Primary |
Addresses
Primary practice location
9205 SW Barnes Rd
Portland, OR 97225-6603
Mailing address
1650 NW 21St Ave Apt 230
Portland, OR 97209-2198
Phone (440) 799-1950
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, KS, MO, ME
Enrollment records 4
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231229001633 | OR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9133579386 | Reassigns benefits to 1 organization |
| I20250507002105 | KS | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9133579386 | Reassigns benefits to 1 organization |
| I20250507002720 | MO | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9133579386 | Reassigns benefits to 1 organization |
| I20260626003901 | ME | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 9133579386 | Reassigns benefits to 1 organization |
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
- Eastern Maine Medical Center
Practice addresses (Care Compare)
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
Hospital & facility affiliations
- University of Kansas Health System Olathe Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147821 | OR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Capital Anesthesia Solutions of Missouri, LLC | Current | Accepting new patients | |
| Kansas University Physicians Inc | Current | Accepting new patients |
Locations
3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005
11300 Corporate Ave
Ste 342
Lenexa, KS 66219
Phone (913) 574-0425
20333 W 151st St
Olathe, KS 66061
Phone (888) 960-1393
2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360
3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered, OR
-
- Anesthesiology Physician
- Rombauer, MO
- NPI 1770185472
MO
-
- Cardiovascular Disease Physician
- Kansas City, KS
- NPI 1407637291
-
- Anesthesiology Physician
- Kansas City, KS
- NPI 1750459657
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": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695081600000",
"number": "1548048754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 NW 21ST AVE APT 230",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972092198",
"telephone_number": "440-799-1950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 SW BARNES RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256603",
"telephone_number": "503-216-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPANA",
"first_name": "CHARLES",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "DNP, CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-19",
"last_updated": "2023-09-19",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OR",
"license": "147821",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.