COURTNEY OSMOND CAMPBELL CAA
NPI 1053004077
Anesthesiologist Assistant in Washington, DC

Active since May 26, 2023Accepts Medicare Assignment
900 23RD ST NW, WASHINGTON, DC 20037(202) 715-4750(202) 715-4759 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2023, May 26, 2023 (2 updates tracked since 2023).

About Courtney Osmond Campbell Caa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COURTNEY OSMOND CAMPBELL CAA (NPI 1053004077) is an individual anesthesiologist assistant in Washington, District Of Columbia and active in the NPI registry since May 2023. He is a graduate of Other (2023).

NPPES Registry Identity

NPI1053004077
Entity TypeIndividualMale
Primary Taxonomy367H00000X
Provider Legal NameCOURTNEY OSMOND CAMPBELLCredential: CAA
Location Address900 23RD ST NWWashington, DC 20037-2342
Mailing Address900 23rd St NwWashington, DC 20037-2342
Fax(202) 715-4759
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 26, 2023
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1053004077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
900 23RD ST NW, Washington, DC 20037

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Osmond Campbell Caa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800256363
PECOS Enrollment IDI20230714002484

Medicare Billing Reassignments

3

Medicare enrollment records show Courtney Campbell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
900 23RD ST NW
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 39 clinicians in this Medicare group
Anesthesiology
2150 PENNSYLVANIA AVE NW, SUITE 10-409A
Washington, DC 20037
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,275 clinicians in this Medicare group
Anesthesiology
2002 MEDICAL PKWY STE 330
Annapolis, MD 21401
  • Reassigned Medicare billing, District of Columbia enrollment
  • 391 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
900 23RD ST NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
900 23RD ST NW
WASHINGTON, DC 20037
Anesthesiology
900 23RD ST NW
WASHINGTON, DC 20037
Physician Assistant (Surgical)
900 23RD ST NW
WASHINGTON, DC 20037
Student in an Organized Health Care Education/Training Program
900 23RD ST NW
WASHINGTON, DC 20037
Emergency Medicine
900 23RD ST NW
WASHINGTON, DC 20037
Physician Assistant
900 23RD ST NW
WASHINGTON, DC 20037
Physician Assistant
900 23RD ST NW
WASHINGTON, DC 20037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Campbell's NPI number?

The NPI number for Courtney Campbell is 1053004077. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Courtney Campbell located?

Courtney Campbell practices at 900 23rd St NW, Washington, DC 20037. The listed phone number is (202) 715-4750.

What is Courtney Campbell's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Courtney Campbell enrolled in Medicare?

Yes. Courtney Campbell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Courtney Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Campbell reassigns Medicare benefits to 3 organizations: Greater Washington Anesthesia Network PLLC (Washington, DC), Medical Faculty Associates, Inc (Washington, DC) and Anesthesia Company, LLC (Annapolis, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Courtney Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Courtney Campbell was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.