| Nicole M Campbell, CRNA | |
|
1700 E 19th St, The Dalles, OR 97058 | |
| (541) 296-7760 | |
| Not Available |
| Full Name | Nicole M Campbell |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 17 Years |
| Location | 1700 E 19th St, The Dalles, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154651925 | NPI | - | NPPES |
| NR14585000 | Other | NJ | STATE LICENSE |
| 201500184CRNA | Other | OR | STATE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 201500184CRNA (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Bay Area Hospital | Coos bay, OR | Hospital |
| Arbor Health Morton Hospital | Morton, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bay Area Hospital District | 2163331000 | 117 |
| Public Hospital District No. 2, Klickitat County, Washington | 4981592144 | 40 |
| Lewis County Hospital District No 1 | 6002727385 | 27 |
| Providence Health And Services Oregon | 7315856010 | 80 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053862714 PECOS PAC ID: 7315856010 Enrollment ID: O20040304001330 |
| Entity Name | Bay Area Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225016561 PECOS PAC ID: 2163331000 Enrollment ID: O20040310000301 |
| Entity Name | Coquille Valley Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730223967 PECOS PAC ID: 6901714591 Enrollment ID: O20040420000530 |
| Entity Name | Coquille Valley Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730223967 PECOS PAC ID: 6901714591 Enrollment ID: O20061104000087 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1255429338 PECOS PAC ID: 7315856010 Enrollment ID: O20061104000324 |
| Entity Name | Oxford Anesthesia Management, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669077707 PECOS PAC ID: 1355756461 Enrollment ID: O20210224000625 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole M Campbell, CRNA Po Box 69355, Baltimore, MD 21264-9355 Ph: Not Available | Nicole M Campbell, CRNA 1700 E 19th St, The Dalles, OR 97058 Ph: (541) 296-7760 |
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 |