Mary Charmaine Estrella Campana, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22427 Issued in NV

Practice address

10624 S Eastern Ave Ste a-955
Henderson, NV 89052-2982

Phone

(702) 407-7700

NPI assigned

Jan 16, 2008

Last updated

Jul 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Platinum Hospitalists LLPGroup PAC ID 7214076322, 197 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Canyon Vista Post Acute Nursing home, Las Vegas, NV, CCN 295093
• TLC Care Center Nursing home, Henderson, NV, CCN 295071

Merit-based Incentive Payment System (MIPS)

Final score

61.15 of 100Reported as group

Quality

36.67

Improvement activities

40

Cost

61.8

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: marycharmaine.campana@al-nv.direct.office.nextgen.com

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.

• Acnm LLC

  dba A Clinic Near Me

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1609656131
  Medicare reassignment NPD Authorized official
• Lcmcc LLC

  dba Rumppha Medical Clinic

  • Family Medicine Physician
  • Pahrump, NV
  • NPI 1528813383
  Medicare reassignment NPD Authorized official
• Platinum Hospitalists LLP

  • Hospitalist Physician
  • Henderson, NV
  • NPI 1861627242

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Platinum Hospitalists LLP

  dba Platinum Continuity and Specialty Clinic

  • Internal Medicine Physician
  • Henderson, NV
  • NPI 1437948726

  Family Medicine

  NPD
• Kuhl Consulting LV

  dba Spring Mountain Occupational

  • Pain Medicine (Anesthesiology) Physician
  • Las Vegas, NV
  • NPI 1750162368
  NPD (past)
• Moon Cove Healthcare, Inc.

  dba Henderson Health and Rehabilitation

  • Skilled Nursing Facility
  • Henderson, NV
  • NPI 1528704814
  NPD (past)
• TLC SNF Operations LLC

  dba TLC Care Center

  • Skilled Nursing Facility
  • Henderson, NV
  • NPI 1841927126
  NPD (past)
• Physical Therapy in Your Home Inc

  • Physical Therapy Clinic/Center
  • Boca Raton, FL
  • NPI 1356353437
  NPD (past)
• Trinity 5 Inc

  • Physical Therapist
  • Boca Raton, FL
  • NPI 1326665084
  NPD (past)

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

• TLC SNF Operations LLC

  dba TLC Care Center

  • Skilled Nursing Facility
  • Henderson, NV
  • NPI 1841927126

  Nursing home

  Care Compare affiliation
• Yate Holdings, LLC

  dba Canyon Vista Post-Acute

  • Skilled Nursing Facility
  • Las Vegas, NV
  • NPI 1447660618

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1821274267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE A-955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-407-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10624 S EASTERN AVE STE A-955",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522982",
            "telephone_number": "702-407-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPANA",
        "first_name": "MARY CHARMAINE",
        "middle_name": "ESTRELLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-16",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "22427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cirilo D Cambongga
• Camel Kids Dentistry
• Joshua Ryan Cameron
• Ni'Kiryan Cammon
• Christopher Pascual Campana, O.D.
• Campbell Psychiatry PLLC
• Cheryce Campbell-Davis
• Rawl Campbell-Dunn, MFT
• Andrea Campbell
• Cheryl S Campbell

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.