WALTER GLENN CAMPBELL CRNA
NPI 1275057960
Nurse Anesthetist, Certified Registered in Paducah, KY

Active since August 03, 2017PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
225 MEDICAL CENTER DR STE 405, PADUCAH, KY 42003(270) 441-4750(270) 441-4770 Get Directions Write a Review

NPPES record last updated: October 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Walter Glenn Campbell Crna NPPES

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

WALTER GLENN CAMPBELL CRNA (NPI 1275057960) is an individual nurse anesthetist, certified registered in Paducah, Kentucky, licensed in Kentucky (3011785) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with Ferrell Hospital Community Foundations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1275057960
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameWALTER GLENN CAMPBELLCredential: CRNA
Location Address225 MEDICAL CENTER DR STE 405Paducah, KY 42003-7914
Mailing Address225 Medical Center Dr Ste 405Paducah, KY 42003-7914 · (270) 441-4750 · Fax (270) 441-4770
Fax(270) 441-4770
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 3, 2017
Last NPPES UpdateOctober 6, 2017
✔ NPI 1275057960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in KY · 3011785
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
225 MEDICAL CENTER DR STE 405, Paducah, KY 42003

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

Walter Glenn Campbell Crna 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 ID3577839125
PECOS Enrollment IDI20221026000678
Eligible to Order & Refer✔ Part B Labs & Imaging– Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Walter Campbell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
HARRISBURG SMALL STREET CLINIC, 250 SMALL STREET
Harrisburg, IL 62946
  • Reassigned Medicare billing, Illinois enrollment
  • 74 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ferrell Hospital Community Foundations

Critical Access Hospitals · Eldorado, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141324
Location1201 Pine StreetEldorado, IL 62930 · Saline County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 9

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

Nurse Anesthetist, Certified Registered
225 MEDICAL CENTER DR STE 405
PADUCAH, KY 42003
Nurse Anesthetist, Certified Registered
225 MEDICAL CENTER DR STE 405
PADUCAH, KY 42003
Nurse Anesthetist, Certified Registered
225 MEDICAL CENTER DR STE 405
PADUCAH, KY 42003
Nurse Anesthetist, Certified Registered
225 MEDICAL CENTER DR STE 405
PADUCAH, KY 42003
Nurse Anesthetist, Certified Registered
225 MEDICAL CENTER DR STE 405
PADUCAH, KY 42003
Nurse Anesthetist, Certified Registered
225 MEDICAL CENTER DR STE 405
PADUCAH, KY 42003
Nurse Anesthetist, Certified Registered
225 MEDICAL CENTER DR STE 405
PADUCAH, KY 42003
Nurse Anesthetist, Certified Registered
225 MEDICAL CENTER DR STE 405
PADUCAH, KY 42003

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 Walter Campbell's NPI number?

The NPI number for Walter Campbell is 1275057960. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is Walter Campbell located?

Walter Campbell practices at 225 Medical Center Dr Ste 405, Paducah, KY 42003. The listed phone number is (270) 441-4750.

What is Walter Campbell's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Walter Campbell enrolled in Medicare?

Yes. Walter 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 organization bills Medicare for Walter Campbell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Walter Campbell reassigns Medicare benefits to Ferrell Hospital Community Foundation (Harrisburg, IL). The 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 Walter Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Walter Campbell affiliated with any hospitals?

According to CMS data, Walter Campbell is affiliated with Ferrell Hospital Community Foundations.

When was this NPI record last updated?

The NPPES record for Walter Campbell was last updated on October 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.