ALICIA DAWN CAMPANELLA APRN-CNM
NPI 1891409033
Advanced Practice Midwife in Tahlequah, OK

Q: What is Alicia Campanella's NPI number?

The NPI number for Alicia Campanella is 1891409033. It was assigned to this individual provider in the NPPES registry on January 12, 2023.

Q: What is Alicia Campanella's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Alicia Campanella was last updated on January 12, 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.

Active since January 12, 2023PECOS EnrolledAccepts Medicare Assignment

100 S BLISS AVE, TAHLEQUAH, OK 74464(918) 458-3100 Get Directions Write a Review

NPPES record last updated: January 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alicia Dawn Campanella Aprn-cnm NPPES

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

ALICIA DAWN CAMPANELLA APRN-CNM (NPI 1891409033) is an individual advanced practice midwife in Tahlequah, Oklahoma, licensed in Oklahoma (206445) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891409033

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameALICIA DAWN CAMPANELLACredential: APRN-CNM

Location Address100 S BLISS AVETahlequah, OK 74464-2512

Mailing Address16018 W 710 RdTahlequah, OK 74464-0440 · (918) 916-3030

Phone(918) 458-3100

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJanuary 12, 2023

NPPES CertifiedJanuary 11, 2023

✔ NPI 1891409033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in OK · 206445

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

100 S BLISS AVE, Tahlequah, OK 74464

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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

Alicia Dawn Campanella Aprn-cnm 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 ID4082079868

PECOS Enrollment IDI20230501000762

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

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.

PATRICK WAYNE SHARP DO

Emergency Medicine