AVERY CHAMPAGNE
NPI 1457959439
Chiropractor in Lacey, WA

Active since October 13, 2020Accepts Medicare Assignment
8825 TALLON LN NE STE D, LACEY, WA 98516(360) 489-0973(360) 489-0983 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 2, 2023, May 19, 2023, Oct 13, 2020 (3 updates tracked since 2020).

About Avery Champagne NPPES

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

AVERY CHAMPAGNE (NPI 1457959439) is an individual chiropractor in Lacey, Washington, licensed in Washington (CH61068859) and active in the NPI registry since October 2020. He is a graduate of Life Chiropractic College - West (2020).

NPPES Registry Identity

NPI1457959439
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameAVERY CHAMPAGNE
Location Address8825 TALLON LN NE STE DLacey, WA 98516-6607
Mailing Address8825 Tallon Ln Ne Ste DLacey, WA 98516-6607 · (360) 489-0973 · Fax (360) 489-0983
Fax(360) 489-0983
Sole ProprietorYes
Medical School CMSLife Chiropractic College - WestGraduated 2020
Enumeration DateOctober 13, 2020
Last NPPES UpdateJune 2, 20233 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
NPI 1457959439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WA · CH61068859
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
8825 TALLON LN NE STE D, Lacey, WA 98516

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Avery Champagne 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 ID749640076
PECOS Enrollment IDI20230818001880

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 Avery Champagne's NPI number?

The NPI number for Avery Champagne is 1457959439. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Avery Champagne located?

Avery Champagne practices at 8825 Tallon Ln NE Ste D, Lacey, WA 98516. The listed phone number is (360) 489-0973.

What is Avery Champagne's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Avery Champagne enrolled in Medicare?

Yes. Avery 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.

When was this NPI record last updated?

The NPPES record for Avery Champagne was last updated on June 2, 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.