MR. JEROLD BENJAMIN CAMPBELL CRNA
NPI 1417943697
Nurse Anesthetist, Certified Registered in Mena, AR
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
Specialties & Licenses
Other Identifiers 8
Accepted Insurance
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Jerold Campbell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mena, AR 71953
- Reassigned Medicare billing, Arkansas enrollment
- Also billed through NPI 1093810392 (Arkansas)
- 15 clinicians in this Medicare group
Clarksville, AR 72830
- Reassigned Medicare billing, Arkansas enrollment
- 36 clinicians in this Medicare group
Forrest City, AR 72335
- Reassigned Medicare billing, Arkansas enrollment
- 40 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.
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.
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.
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.
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 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.
Where is Jerold Campbell located?
Jerold Campbell practices at 311 Morrow St N, Mena, AR 71953. The listed phone number is (479) 394-6100.
What is Jerold Campbell's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jerold Campbell enrolled in Medicare?
Yes. Jerold 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 Jerold Campbell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jerold Campbell reassigns Medicare benefits to 3 organizations: Mena Hospital Commission (Mena, AR), Johnson Regional Medical Center (Clarksville, AR) and Rural Health Pain Management LLC (Forrest City, AR). 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 Jerold Campbell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jerold Campbell accept?
Health plans from Health Advantage and Octave list Jerold Campbell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
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.
# Mr. Jerold Benjamin Campbell, CRNA · NPI 1417943697
Nurse Anesthetist, Certified Registered physician in Mena, Arkansas. Individual provider, active in the CMS NPPES registry since September 23, 2005.
## Identity
- **NPI:** 1417943697 (Entity type: Individual)
- **Enumerated:** September 23, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** C00491 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 311 MORROW ST N, Mena, AR 71953-2516
- **Phone:** (479) 394-6100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mena Hospital Commission (NPI 1285739581, Mena, AR); Johnson Regional Medical Center (NPI 1396794525, Clarksville, AR); Rural Health Pain Management LLC (NPI 1265039556, Forrest City, AR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1985
## Record status
- **NPPES last updated:** June 10, 2010
- **Other identifiers:** Medicare UPIN R65245 (AR); Other 430080341; Medicare ID-Type Unspecified 59312 (AR); and 5 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1417943697) · Data from the CMS NPPES public registry.