MR. JEROLD BENJAMIN CAMPBELL CRNA
NPI 1417943697
Nurse Anesthetist, Certified Registered in Mena, AR

Q: What is Jerold Campbell's NPI number?

The NPI number for Jerold Campbell is 1417943697. It was assigned to this individual provider in the NPPES registry on September 23, 2005.

Q: What is Jerold Campbell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jerold Campbell was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since September 23, 2005Accepts Medicare Assignment

81.29/100

CMS Quality Rating

311 MORROW ST N, MENA, AR 71953(479) 394-6100 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Jerold Benjamin Campbell Crna NPPES

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

MR. JEROLD BENJAMIN CAMPBELL CRNA (NPI 1417943697) is an individual nurse anesthetist, certified registered in Mena, Arkansas, licensed in Arkansas (C00491) and active in the NPI registry since September 2005. He is a graduate of Other (1985).

NPPES Registry Identity

NPI1417943697

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameMR. JEROLD BENJAMIN CAMPBELLCredential: CRNA

Location Address311 MORROW ST NMena, AR 71953-2516

Mailing AddressPo Box 20343Hot Springs, AR 71903-0343 · (501) 520-5204 · Fax (501) 520-5185

Phone(479) 394-6100

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateSeptember 23, 2005

Last NPPES UpdateJune 10, 2010

✔ NPI 1417943697 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 AR · C00491

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.

311 MORROW ST N, Mena, AR 71953

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Other Identifiers 8

Medicare UPINR65245AR

Other430080341Rr Medicare Group Ck6327

Medicare ID-Type Unspecified59312AR

Medicaid113755001AR

Medicare PIN59312C752AR

Medicare PIN5V488C752AR

Other59312AR · Ar Bcbs

Medicare PIN59312AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jerold Benjamin 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 ID7911970900

PECOS Enrollment IDI20040817001403

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71953 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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.

81.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

60.34

Improvement Activities

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.

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