SAMARA A CHAMPION MSN, APRN, NP-C
NPI 1104407691
Nurse Practitioner - Family in Muskegon, MI
About Samara A Champion Msn, Aprn, Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMARA A CHAMPION MSN, APRN, NP-C (NPI 1104407691) is an individual family provider in Muskegon, Michigan, licensed in Michigan (4704232661NSA2109F) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health - West, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 2
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
Samara A Champion Msn, Aprn, Np-c 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
2Medicare enrollment records show Samara Champion reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Muskegon, MI 49442
- Reassigned Medicare billing, Michigan enrollment
- 32 clinicians in this Medicare group
Wyoming, MI 49519
- Reassigned Medicare billing, Michigan enrollment
- 685 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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Michigan Health - West
Acute Care Hospitals · Wyoming, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49442 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 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MUSKEGON, MI 49442
MUSKEGON, MI 49442
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 Samara Champion's NPI number?
The NPI number for Samara Champion is 1104407691. It was assigned to this individual provider in the NPPES registry on April 16, 2021.
Where is Samara Champion located?
Samara Champion practices at 1550 Clinton St, Muskegon, MI 49442. The listed phone number is (231) 737-1335.
What is Samara Champion's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samara Champion enrolled in Medicare?
Yes. Samara Champion 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 Samara Champion's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samara Champion reassigns Medicare benefits to 2 organizations: Hackley Community Care Center, Inc (Muskegon, MI) and Metropolitan Hospital (Wyoming, MI). 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 Samara Champion's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samara Champion affiliated with any hospitals?
According to CMS data, Samara Champion is affiliated with University Of Michigan Health - West.
When was this NPI record last updated?
The NPPES record for Samara Champion was last updated on January 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samara A Champion, MSN, APRN, NP-C · NPI 1104407691
Family physician in Muskegon, Michigan. Individual provider, active in the CMS NPPES registry since April 16, 2021.
## Identity
- **NPI:** 1104407691 (Entity type: Individual)
- **Enumerated:** April 16, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704232661NSA2109F (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1550 CLINTON ST, Muskegon, MI 49442-5007
- **Phone:** (231) 737-1335
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Hackley Community Care Center, Inc (NPI 1609451905, Muskegon, MI); Metropolitan Hospital (NPI 1336182542, Wyoming, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 2, 2022
- **Other identifiers:** Medicaid 1629066238 (MI); Medicaid 1609451905 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1104407691) · Data from the CMS NPPES public registry.