Active NPI
Jennifer Campbell, CRNA
- Certified Registered Nurse Anesthetist
- Kettering, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN.CRNA.15482
- Practice address
- 3535 Southern Blvd
Kettering, OH 45429-1221 - Phone
- (937) 293-8228
- Fax
- (937) 293-8229
- NPI assigned
- Jan 3, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN313950 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | COA.15482-NA | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.15482 | OH | Primary |
Addresses
Primary practice location
3535 Southern Blvd
Kettering, OH 45429-1221
Mailing address
PO Box 932759
Cleveland, OH 44193-0015
Phone (937) 293-8228
Other practice location 1
75 Sylvania Dr
Dayton, OH 45440-3237
Phone (937) 320-5050
Other names 1
- Jennifer Gable
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1625 Delco Park Dr
Dayton, OH 45420-1391
Phone (937) 535-2200
Hospital & facility affiliations
- Trihealth Clinton Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA.15482-NA | OH | MD | Certified Registered Nurse Anesthetist |
| RN313950 | OH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesiology Services Network LTD | Current | Accepting new patients | |
| Sandusky Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Amsurg Cincinnati Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
1 Wyoming St
Dayton, OH 45409
Phone (937) 208-2636
9000 N Main St
Ste 405
Englewood, OH 45415
Phone (937) 320-5050
3535 Southern Blvd
Kettering, OH 45429
Phone (937) 298-1221
9275 Montgomery Rd
Ste 400
Montgomery, OH 45242
Phone (513) 936-4518
9275 Montgomery Rd
Montgomery, OH 45242
Phone (513) 936-4510
Organizations & group practices 4
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
- Kettering, OH
- NPI 1689627739
-
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
- NPI 1053713743
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Dayton, OH
- NPI 1821076779
-
- Certified Registered Nurse Anesthetist
- Circleville, OH
- NPI 1770907859
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wilmington, OH
- NPI 1457243586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1912328352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932759",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930015",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 SOUTHERN BLVD",
"city": "KETTERING",
"state": "OH",
"postal_code": "454291221",
"telephone_number": "937-293-8228",
"fax_number": "937-293-8229"
}
],
"practiceLocations": [
{
"address_1": "75 Sylvania Dr",
"address_purpose": "LOCATION",
"city": "Dayton",
"state": "OH",
"postal_code": "454403237",
"country_code": "US",
"telephone_number": "937-320-5050",
"fax_number": "937-320-5060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CAMPBELL",
"first_name": "JENNIFER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "RN313950",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "COA.15482-NA",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.15482",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "GABLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.