SAMARA A CHAMPION MSN, APRN, NP-C
NPI 1104407691
Nurse Practitioner - Family in Muskegon, MI

Q: 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.

Q: What is Samara Champion'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 Samara Champion was last updated on January 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 16, 2021PECOS EnrolledAccepts Medicare Assignment

1550 CLINTON ST, MUSKEGON, MI 49442(231) 737-1335 Get Directions Write a Review

NPPES record last updated: January 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2022, Aug 10, 2021, Jul 28, 2021 and 1 more (4 updates tracked since 2021).

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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 Trinity Health Muskegon Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104407691

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMARA A CHAMPIONCredential: MSN, APRN, NP-C

Location Address1550 CLINTON STMuskegon, MI 49442-5007

Mailing Address7834 Taylor Ridge DrDelton, MI 49046-7806 · (616) 890-0087

Phone(231) 737-1335

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 16, 2021

Last NPPES UpdateJanuary 2, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2022

✔ NPI 1104407691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704232661NSA2109F

Also ListedFamily MedicineTaxonomy 207Q00000X · License 4704232661 (MI)

1550 CLINTON ST, Muskegon, MI 49442

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Secondary Practice Locations 2

Location 17834 Taylor Ridge DrDelton, MI 49046-7806 · Phone (616) 890-0087

Location 22700 Baker StMuskegon, MI 49444-2157 · Phone (231) 737-1335

Other Identifiers 2

Medicaid1629066238MI

Medicaid1609451905MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Priority Health.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

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.

PECOS PAC ID6103221312

PECOS Enrollment IDI20210826002055

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 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.

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

16 services11 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

14 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230066

Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County

Emergency services Birthing friendly

Physician 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.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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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.

MRS. JENNIFER LYNN POTTER LMSW

Social Worker (Clinical)