Individual provider Active NPI

Marilyn L Campbell, CRNA

  • Certified Registered Nurse Anesthetist
  • Norman, OK
National Provider Identifier
1891041323
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
89349 Issued in OK
Practice address
901 N Porter Ave
Norman, OK 73071-6404
Phone
(405) 701-3418
Fax
(405) 701-3451
NPI assigned
Aug 2, 2012
Last updated
Apr 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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 89349 OK Primary

Addresses

Primary practice location

901 N Porter Ave
Norman, OK 73071-6404

Mailing address

PO Box 721330
Norman, OK 73070-8024
Phone (405) 701-3418

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121003000293 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 7416106687 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Specialists of Oklahoma LLCGroup PAC ID 0648551739, 7 clinicians

Practice addresses (Care Compare)

21 NE 3Rd St
Oklahoma City, OK 73104-2205
Phone (866) 471-8720

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
89349OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Specialists of Oklahoma LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2017 Accepting new patients
Oklahoma Anesthesia Specialists PLLC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2023 Accepting new patients
Norman Anesthesia Providers, P.C. CurrentSince Oct 1, 2012 Accepting new patients
Anesthesia Medical Professionals, PLLC CurrentSince Oct 7, 2022 Accepting new patients
Kyle Jones Aprn-Crna PC Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2018 Accepting new patients

Locations

4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000

3121 S Telephone Rd
Moore, OK 73160
Phone (405) 321-0370

3300 Healthplex Pkwy
Norman, OK 73072
Phone (405) 329-4102

3400 W Tecumseh Rd
Ste 301
Norman, OK 73072
Phone (405) 801-4200

3650 W Rock Creek Rd
#100
Norman, OK 73072
Phone (405) 701-3418

901 N Porter Ave
Norman, OK 73071
Phone (405) 307-1500

1000 N Lincoln Blvd
Ste 150
Oklahoma City, OK 73104
Phone (405) 232-8696

1044 SW 44th St
Oklahoma City, OK 73109
Phone (405) 631-3085

1044 SW 44th St
Ste 350
Oklahoma City, OK 73109
Phone (405) 631-3085

1732 S Sooner Rd
Oklahoma City, OK 73110
Phone (405) 408-9274

25 N Rockwell Ave
Oklahoma City, OK 73127
Phone (405) 365-4456

8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500

9913 S May Ave
Ste C
Oklahoma City, OK 73159
Phone (405) 605-4350

Organizations & group practices 5

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 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": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586131200000",
    "number": "1891041323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 721330",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730708024",
            "telephone_number": "405-701-3418",
            "fax_number": "705-701-3451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716404",
            "telephone_number": "405-701-3418",
            "fax_number": "405-701-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "MARILYN",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "89349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.