NICHOLAS BENJAMIN CAMP, MD — NPI 1861753709 (Board-Certified Anesthesiologist & Interventional Pain Specialist in BENTONVILLE, AR)

CMS-1500 Box 24J / 33a • NPI

1861753709

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

207LP2900X (CMS 05)

Board-Certified Anesthesiologist & Interventional Pain Specialist

Box 32 Service Location & ZIP+4

2900 MEDICAL CENTER PKWY STE 110, BENTONVILLE, AR, 72712-3212

✓ 9-Digit EDI 837 ZIP+4 (72712-3212)

Practice Phone & Referral Fax

(479) 715-4262

Fax: (866) 817-7601

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1861753709 (NICHOLAS BENJAMIN CAMP, MD) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1861753709` (NPI-1 Individual Practitioner)
Provider / Legal Name	NICHOLAS BENJAMIN CAMP, MD
Plain-English Specialty	Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: `207LP2900X` (Anesthesiology, Pain Medicine)
Certifying / Licensing Body	American Board of Anesthesiology (ABA)
Practice Location Address	2900 MEDICAL CENTER PKWY STE 110, BENTONVILLE, AR, 72712-3212
Practice Telephone / Fax	Tel: (479) 715-4262 \| Fax: (866) 817-7601
Administrative Mailing Address	2900 MEDICAL CENTER PKWY STE 110, BENTONVILLE, AR, 72712-3212
Enumeration & Last Sync	Enumerated: 2012-06-07 \| CMS Record Updated: 2022-08-25

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2900 MEDICAL CENTER PKWY STE 110, BENTONVILLE, AR, 72712-3212

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Plain-English Taxonomy & CMS Crosswalk (207LP2900X)

What Does Taxonomy Code 207LP2900X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207LP2900X translates to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 05 (Physician/Anesthesiology)
Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
Clinical Scope: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (NICHOLAS BENJAMIN CAMP, MD)

Typical CPT / Diagnostic Procedures:

General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks

Common Therapeutic Classes:

Propofol, Sevoflurane, Rocuronium & Sugammadex
Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207LP2900X` — Anesthesiology, Pain Medicine Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: MO \| License: `2017004412` \| Primary: Secondary
`207LP2900X` — Anesthesiology, Pain Medicine Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: AR \| License: `E-10371` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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NICHOLAS BENJAMIN CAMP, MD (NPI #1861753709)