CHAMP PHUPHANICH FNP
NPI 1023765427
Nurse Practitioner - Family in Thibodaux, LA

Q: What is Champ Phuphanich's NPI number?

The NPI number for Champ Phuphanich is 1023765427. It was assigned to this individual provider in the NPPES registry on March 4, 2022.

Q: What is Champ Phuphanich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Champ Phuphanich was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 04, 2022PECOS EnrolledAccepts Medicare Assignment

305 E 1ST ST, THIBODAUX, LA 70301(985) 228-6028 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Mar 4, 2022 (2 updates tracked since 2022).

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About Champ Phuphanich Fnp NPPES

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

CHAMP PHUPHANICH FNP (NPI 1023765427) is an individual family provider in Thibodaux, Louisiana, licensed in Louisiana (224407) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houma, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023765427

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameCHAMP PHUPHANICHCredential: FNP

Location Address305 E 1ST STThibodaux, LA 70301-3341

Mailing Address305 E 1st StThibodaux, LA 70301-3341

Phone(985) 228-6028

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMarch 4, 2022

Last NPPES UpdateApril 16, 20242 updates tracked since enumeration

NPPES CertifiedMarch 6, 2024

✔ NPI 1023765427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in LA · 224407

305 E 1ST ST, Thibodaux, LA 70301

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Secondary Practice Location 1

Location 11990 Industrial BlvdHouma, LA 70363-7055 · Phone (985) 868-9300

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan, HMO Louisiana.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

Champ Phuphanich Fnp 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 ID6002295276

PECOS Enrollment IDI20220617001183

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.

Areas of Expertise CMS Part B claims 3

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

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

25 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.

23 services23 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70301 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

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAYOUMD URGENT HEALTHCARE LLC

Clinic/Center (Urgent Care)

305 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (985) 346-6864

KALEY MARIE DUPLANTIS

Physician Assistant

305 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (985) 228-6028

MICHAEL STRANEY M.D.

Emergency Medicine

305 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (985) 228-6028

SCOTTY AUSTIN BOUZIGARD

Nurse Practitioner

305 E 1ST ST
THIBODAUX, LA 70301

Lafourche Parish (985) 228-6028

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 Champ Phuphanich's NPI number?

The NPI number for Champ Phuphanich is 1023765427. It was assigned to this individual provider in the NPPES registry on March 4, 2022.

Where is Champ Phuphanich located?

Champ Phuphanich practices at 305 E 1st St, Thibodaux, LA 70301. The listed phone number is (985) 228-6028.

What is Champ Phuphanich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Champ Phuphanich enrolled in Medicare?

Yes. Champ Phuphanich 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.

What insurance does Champ Phuphanich accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Champ Phuphanich 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 Champ Phuphanich was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.