Active NPI
Nicklas A Campagna, CRNA
- Certified Registered Nurse Anesthetist
- Little Rock, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 234821
- Practice address
- 4301 W Markham St # 515
Little Rock, AR 72205-7101 - Phone
- (501) 686-8000
- Fax
- (501) 526-5148
- NPI assigned
- Jun 23, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 234821 | AR | Primary |
| Registered Nurse | 163W00000X | 9539691 | FL |
Addresses
Primary practice location
4301 W Markham St # 515
Little Rock, AR 72205-7101
Mailing address
4301 W Markham St # 783
Little Rock, AR 72205-7199
Phone (501) 686-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, NM
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251105000204 | AR | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1658861042 | Reassigns benefits to 2 organizations |
| I20260611004538 | NM | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 1658861042 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ouachita Regional Anesthesia PLLCAnesthesia Associates of New Mexico P C
Practice addresses (Care Compare)
1910 Malvern Ave
Hot Springs, AR 71901-7752
Phone (501) 321-1000
4801 Beckner Rd
Santa Fe, NM 87507-3641
Phone (505) 772-1234
Hospital & facility affiliations
- National Park Medical Center
- Presbyterian Santa Fe Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9539691 | FL | MD | Registered Nurse |
| 234821 | AR | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ouachita Regional Anesthesia PLLC | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients |
Locations
1910 Malvern Ave
Hot Springs National Park, AR 71901
Phone (501) 321-1000
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
8820 Knoedl Ct
Little Rock, AR 72205
Phone (501) 224-6767
4301 W Markham St
#515
Little Rock, AR 72205
Phone (501) 603-1656
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Little Rock, AR
- NPI 1588654016
AR
-
- Family Medicine Physician
- El Dorado, AR
- NPI 1023795051
-
- Podiatrist
- Little Rock, AR
- NPI 1851471312
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hot Springs, AR
- NPI 1841241833
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1972490621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 783",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057199",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 W MARKHAM ST # 515",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722057101",
"telephone_number": "501-686-8000",
"fax_number": "501-526-5148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPAGNA",
"first_name": "NICKLAS",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-23",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AR",
"license": "234821",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "9539691",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.