Individual provider Active NPI

Preston Woodburn-Camp

  • Certified Registered Nurse Anesthetist
  • Kingwood, WV
National Provider Identifier
1992299655
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R232184 Issued in MD
Practice address
150 Memorial Dr # a
Kingwood, WV 26537-1141
Phone
(304) 329-1400
NPI assigned
Jun 18, 2018
Last updated
Jul 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R232184 MD Primary
Certified Registered Nurse Anesthetist 367500000X 79305 WV

Addresses

Primary practice location

150 Memorial Dr # a
Kingwood, WV 26537-1141

Mailing address

150 Memorial Dr # a
Kingwood, WV 26537-1141
Phone (304) 329-1400

Other practice location 1

12500 Willowbrook Rd
Cumberland, MD 21502-6393
Phone (240) 964-7000

Other practice location 2

100 Pin Oak Ln
Keyser, WV 26726-5908
Phone (304) 597-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180716002434 MD Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355698812 Reassigns benefits to 2 organizations
I20181119001195 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355698812 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Clinical Colleagues IncGroup PAC ID 8729011333, 170 clinicians
Cumberland Anesthesia Ams LLCGroup PAC ID 4981825056, 12 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Petersburg, WV 26847-9549
Phone (304) 257-1026

12252 Williams Rd SE
103 Surgcenter of Western Maryland
Cumberland, MD 21502-7960
Phone (240) 552-0185

3 E Benjamin Dr
New Martinsville, WV 26155-2705
Phone (304) 455-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Preston Memorial Hospital Corporation CurrentSince Apr 29, 2024 Accepting new patients
Cumberland Anesthesia Ams LLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2024 Accepting new patients
Potomac Valley Hospital of W VA , Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2018 Accepting new patients
Anesthesia Management Solutions LLC Nurse Anesthetist, Certified Registered CurrentSince May 20, 2024 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Nov 1, 2018 Accepting new patients
Preston Memorial Hospital Corporation CurrentSince Apr 29, 2024 Accepting new patients
Potomac Valley Hospital of W VA , Inc CurrentSince Oct 23, 2025 Accepting new patients
Potomac Valley Hospital of W VA , Inc PastSince Dec 22, 2019 Accepting new patients

Locations

12252 Williams Rd SE
Ste 1
Cumberland, MD 21502
Phone (240) 552-0185

12252 Williams Rd SE
Ste 103
Cumberland, MD 21502
Phone (240) 522-0185

11110 Medical Campus Rd
Ste 248
Hagerstown, MD 21742
Phone (240) 313-9800

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

150 Memorial Dr
Kingwood, WV 26537
Phone (304) 329-4701

150 Memorial Dr
#A
Kingwood, WV 26537

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/preston-adacdb24

Organizations & group practices 9

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1992299655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MEMORIAL DR # A",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371141",
            "telephone_number": "304-329-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MEMORIAL DR # A",
            "city": "KINGWOOD",
            "state": "WV",
            "postal_code": "265371141",
            "telephone_number": "304-329-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12500 Willowbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Cumberland",
            "state": "MD",
            "postal_code": "215026393",
            "country_code": "US",
            "telephone_number": "240-964-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Pin Oak Ln",
            "address_purpose": "LOCATION",
            "city": "Keyser",
            "state": "WV",
            "postal_code": "267265908",
            "country_code": "US",
            "telephone_number": "304-597-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODBURN-CAMP",
        "first_name": "PRESTON",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R232184",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "79305",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.