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NICHOLAS ALAN CHAMPLIN PA-C
NPI 1053079616
Physician Assistant in Indianapolis, IN

Active since December 01, 2021PECOS Enrolled
1481 W 10TH ST, INDIANAPOLIS, IN 46202(317) 554-0000 Get Directions Write a Review

NPPES record last updated: May 11, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 11, 2023, Dec 1, 2021 (2 updates tracked since 2021).

About Nicholas Alan Champlin Pa-c NPPES

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

NICHOLAS ALAN CHAMPLIN PA-C (NPI 1053079616) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10003469A) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053079616
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS ALAN CHAMPLINCredential: PA-C
Location Address1481 W 10TH STIndianapolis, IN 46202-2803
Mailing Address1481 W 10th StIndianapolis, IN 46202-2803 · (317) 988-3191 · Fax (317) 988-5357
Phone(317) 554-0000
Sole ProprietorNo
Enumeration DateDecember 1, 2021
Last NPPES UpdateMay 11, 20232 updates tracked since enumeration
NPPES CertifiedMay 11, 2023
✔ NPI 1053079616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10003469A
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1481 W 10TH ST, Indianapolis, IN 46202
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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)

Nicholas Alan Champlin Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

DR. SATISH KENCHAIAH MD, MPH
Internal Medicine (Cardiovascular Disease)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 988-4989
JAMES ALEXIS LEYVA AU.D.
Audiologist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 988-2233
JAMES DAVID MIDDLETON RD
Dietitian, Registered
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (765) 635-8310
STEPHEN MARK JOHNSON LCSW
Social Worker (Clinical)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (812) 478-1803
AMANDA SWINEA
Recreation Therapist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 544-8983
DEBORAH K SIEFERT NURSE PRACTITIONER
Registered Nurse
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 554-0181
SHAWN FAUVER FNP
Nurse Practitioner (Family)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (313) 554-0000
PHYLLIS L ARTHUR
Registered Nurse (Ambulatory Care)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Marion County (317) 554-0000

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 Nicholas Champlin's NPI number?

The NPI number for Nicholas Champlin is 1053079616. It was assigned to this individual provider in the NPPES registry on December 1, 2021.

Where is Nicholas Champlin located?

Nicholas Champlin practices at 1481 W 10th St, Indianapolis, IN 46202. The listed phone number is (317) 554-0000.

What is Nicholas Champlin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicholas Champlin enrolled in Medicare?

Yes. Nicholas Champlin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Champlin was last updated on May 11, 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.