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DR. KATELYNN MARIE BRIDGET CHAMPAGNE M.D.
NPI 1215498787
Anesthesiology in San Diego, CA

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment
3626 RUFFIN RD, SAN DIEGO, CA 92123(858) 565-9666(858) 565-9441 Get Directions Write a Review

NPPES record last updated: September 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 24, 2024, Jun 1, 2023 (2 updates tracked since 2023).

About Dr. Katelynn Marie Bridget Champagne M.d. NPPES

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

DR. KATELYNN MARIE BRIDGET CHAMPAGNE M.D. (NPI 1215498787) is an individual anesthesiology provider in San Diego, California, licensed in California (A197895) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Stony Brook, School Of Medicine (2019).

NPPES Registry Identity

NPI1215498787
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameDR. KATELYNN MARIE BRIDGET CHAMPAGNECredential: M.D.
Location Address3626 RUFFIN RDSan Diego, CA 92123-1810
Mailing Address3626 Ruffin RdSan Diego, CA 92123-1810 · (858) 565-9666 · Fax (858) 565-9441
Phone(858) 565-9666
Fax(858) 565-9441
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 2019
Enumeration DateMarch 27, 2019
Last NPPES UpdateSeptember 24, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2024
✔ NPI 1215498787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in CA · A197895
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
3626 RUFFIN RD, San Diego, CA 92123
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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

Dr. Katelynn Marie Bridget Champagne M.d. 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 ID2365809704
PECOS Enrollment IDI20240917002342
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.

Medicare Billing Reassignment

Medicare enrollment records show Katelynn Champagne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anesthesia Service Medical Group
Same address
Anesthesiology
3626 RUFFIN RD
San Diego, CA 92123
  • Reassigned Medicare billing, California enrollment
  • 269 clinicians in this Medicare group
NPI 1053354233 (858) 565-9666

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

THOMAS J. PIETUCH M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
DR. JEFFREY KOJI SAKIHARA M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
MARK SETH CHRISTOFFERSON MD
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
QUINN S HUME DO
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
STEVEN A. SALTZ M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
TATYANA FELDMAN MD
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
DR. JAMES BRIAN BILLYS MD
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666
DARCI J. TOM M.D.
Anesthesiology
3626 RUFFIN RD
SAN DIEGO, CA 92123
San Diego County (858) 565-9666

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 Katelynn Champagne's NPI number?

The NPI number for Katelynn Champagne is 1215498787. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Katelynn Champagne located?

Katelynn Champagne practices at 3626 Ruffin Rd, San Diego, CA 92123. The listed phone number is (858) 565-9666.

What is Katelynn Champagne's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Katelynn Champagne enrolled in Medicare?

Yes. Katelynn Champagne 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 organization bills Medicare for Katelynn Champagne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katelynn Champagne reassigns Medicare benefits to Anesthesia Service Medical Group (San Diego, CA). The 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 Katelynn Champagne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Katelynn Champagne was last updated on September 24, 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.