CHAMP PHUPHANICH FNP
NPI 1023765427
Nurse Practitioner - Family in Thibodaux, LA
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
Specialties & Licenses
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
5Medicare enrollment records show Champ Phuphanich reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Thibodaux, LA 70301
- Reassigned Medicare billing, Louisiana enrollment
- 8 clinicians in this Medicare group
Houma, LA 70363
- Reassigned Medicare billing, Louisiana enrollment
- 189 clinicians in this Medicare group
Morgan City, LA 70380
- Reassigned Medicare billing, Louisiana enrollment
- 95 clinicians in this Medicare group
Metairie, LA 70001
- Reassigned Medicare billing, Louisiana enrollment
- 114 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Louisiana enrollment
- 439 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.
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.
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.
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.
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.
Which organizations bill Medicare for Champ Phuphanich's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Champ Phuphanich reassigns Medicare benefits to 5 organizations: Bayoumd Urgent Healthcare LLC (Thibodaux, LA), South Louisiana Medical Associates (Houma, LA), St Mary Emergency Group LLC (Morgan City, LA), Independence Emergency Group LLC (Metairie, LA) and Signify Health, LLC (Dallas, TX). 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 Champ Phuphanich's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Champ Phuphanich accept?
Health plans from 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.
# Champ Phuphanich, FNP · NPI 1023765427
Family physician in Thibodaux, Louisiana. Individual provider, active in the CMS NPPES registry since March 4, 2022.
## Identity
- **NPI:** 1023765427 (Entity type: Individual)
- **Enumerated:** March 4, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 224407 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 305 E 1ST ST, Thibodaux, LA 70301-3341
- **Phone:** (985) 228-6028
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Bayoumd Urgent Healthcare LLC (NPI 1306628508, Thibodaux, LA); South Louisiana Medical Associates (NPI 1710944012, Houma, LA); St Mary Emergency Group LLC (NPI 1235108499, Morgan City, LA); Independence Emergency Group LLC (NPI 1528384773, Metairie, LA); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1023765427) · Data from the CMS NPPES public registry.