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

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: July 19, 2026.

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
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

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

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

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services34 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
21 services14 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
20 services14 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services13 patients
New patient office or other outpatient visit, 45-59 minutes 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
11 services11 patients

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
Quality60.34
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
311 MORROW ST N
MENA, AR 71953
Emergency Medicine
311 MORROW ST N
MENA, AR 71953
Radiology (Diagnostic Radiology)
311 MORROW ST N
MENA, AR 71953
Nurse Practitioner (Family)
311 MORROW ST N
MENA, AR 71953
Family Medicine
311 MORROW ST N
MENA, AR 71953
Occupational Therapist
311 MORROW ST N
MENA, AR 71953
Social Worker (Clinical)
311 MORROW ST N
MENA, AR 71953
Clinic/Center (Rural Health)
311 MORROW ST N
MENA, AR 71953

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417943697, enumerated as an "individual" on September 23, 2005.

The provider is located at 311 MORROW ST N MENA, AR 71953 and the phone number is (479) 394-6100.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.