GRACE KATHLEEN CHAMPION MD
NPI 1033631049
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Q: What is Grace Champion's NPI number?

The NPI number for Grace Champion is 1033631049. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Q: What is Grace Champion's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Grace Champion was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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 July 11, 2017PECOS Enrolled

1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(907) 982-6537 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2025, Aug 7, 2025, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

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About Grace Kathleen Champion Md NPPES

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

GRACE KATHLEEN CHAMPION MD (NPI 1033631049) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351054089) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033631049

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameGRACE KATHLEEN CHAMPIONCredential: MD

Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000

Mailing Address1500 E Medical Center DrAnn Arbor, MI 48109-5000 · (907) 982-6537

Phone(907) 982-6537

Sole ProprietorNo

Enumeration DateJuly 11, 2017

Last NPPES UpdateAugust 11, 20254 updates tracked since enumeration

NPPES CertifiedAugust 11, 2025

✔ NPI 1033631049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 4351054089

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

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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 (PECOS)

Grace Kathleen Champion Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

LOKMAN SUNG MD

Pathology (Forensic Pathology)

1500 E MEDICAL CENTER DR, 2ND FLOOR UNIVERSITY HOSPITAL RECP PATHOLOGY
ANN ARBOR, MI 48109

Washtenaw County (800) 862-7284

SAMEER DEV SAINI M.D.

Internal Medicine (Gastroenterology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KYLE DAVID PERRY MD

Pathology (Cytopathology)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

DR. DAVID ALEXANDER STEWART M.D.

Pediatrics

1500 E MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL ROOM 525
ANN ARBOR, MI 48109

Washtenaw County (734) 763-5302

DR. MICHAEL EDMUND WATSON MD

Pediatrics (Pediatric Infectious Diseases)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

CARRIE KRAEGER PORTER PA-C

Physician Assistant

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-6666

DENISE LYNN BERRY CRNA

Nurse Anesthetist, Certified Registered

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

KETTI SOPHIA PETERSEN MD

Family Medicine (Hospice and Palliative Medicine)

1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Washtenaw County (734) 936-4000

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 Grace Champion's NPI number?

The NPI number for Grace Champion is 1033631049. It was assigned to this individual provider in the NPPES registry on July 11, 2017.

Where is Grace Champion located?

Grace Champion practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (907) 982-6537.

What is Grace Champion's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Grace Champion enrolled in Medicare?

Yes. Grace Champion is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grace Champion was last updated on August 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.