Nicole M Campbell, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in The Dalles, OR

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Nicole M Campbell, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in The Dalles, Oregon. She graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Gorge Anesthesia Services Llc and her current practice location is 1700 E 19th St, The Dalles, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 296-7760.

Nicole M Campbell is licensed to practice in Oregon (license number 201500184CRNA) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154651925.

Contact Information

Nicole M Campbell, CRNA
1700 E 19th St,
The Dalles, OR 97058
(541) 296-7760
Not Available

Map and Direction




Provider's Profile

Full NameNicole M Campbell
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location1700 E 19th St, The Dalles, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole M Campbell graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1154651925
  • Provider Enumeration Date: 12/30/2009
  • Last Update Date: 07/01/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2860535523
  • Enrollment ID: I20170516000584

Medical Identifiers

Medical identifiers for Nicole M Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154651925NPI-NPPES
NR14585000OtherNJSTATE LICENSE
201500184CRNAOtherORSTATE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 201500184CRNA (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Coquille Valley Hospital DistrictCoquille, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gorge Anesthesia Services Llc20628776735

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole M Campbell allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053862714
PECOS PAC ID: 7315856010
Enrollment ID: O20040304001330
Entity NameCoquille Valley Hospital District
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730223967
PECOS PAC ID: 6901714591
Enrollment ID: O20040420000530
Entity NameCoquille Valley Hospital District
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1730223967
PECOS PAC ID: 6901714591
Enrollment ID: O20061104000087
Entity NameOxford Anesthesia Management, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669077707
PECOS PAC ID: 1355756461
Enrollment ID: O20210224000625
Entity NameGorge Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831469386
PECOS PAC ID: 2062877673
Enrollment ID: O20230504001463

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole M Campbell is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole M Campbell, CRNA
Po Box 69355,
Baltimore, MD 21264-9355

Ph: () -		Nicole M Campbell, CRNA
1700 E 19th St,
The Dalles, OR 97058

Ph: (541) 296-7760

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in The Dalles, OR

Maura Frith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1700 E 19th St, The Dalles, OR 97058
Phone: 541-296-7760    
Mr. Randall Thomas Stewart, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1700 E 19th St, Mid Columbia Medical Center, The Dalles, OR 97058
Phone: 541-296-1111    Fax: 541-296-7614
Mark S Chambers,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1700 E 19th St, The Dalles, OR 97058
Phone: 360-904-4525    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.