CHAM'PANE TA'CHELL JOHNSON RN
NPI 1467251694
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent in Las Vegas, NV

Active since March 11, 2025PECOS EnrolledAccepts Medicare Assignment
4000 S EASTERN AVE STE 240, LAS VEGAS, NV 89119(702) 848-1696 Get Directions Write a Review

NPPES record last updated: December 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 18, 2025, Mar 11, 2025 (2 updates tracked since 2025).

About Cham'pane Ta'chell Johnson Rn NPPES

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

CHAM'PANE TA'CHELL JOHNSON RN (NPI 1467251694) is an individual psychiatric/mental health, child & adolescent provider in Las Vegas, Nevada, licensed in Massachusetts (RN2390656) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1467251694
Entity TypeIndividualFemale
Primary Taxonomy163WP0807X
Provider Legal NameCHAM'PANE TA'CHELL JOHNSONCredential: RN
Location Address4000 S EASTERN AVE STE 240Las Vegas, NV 89119-0847
Mailing Address3073 Leonetti CtLas Vegas, NV 89141-3466
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 11, 2025
Last NPPES UpdateDecember 18, 20252 updates tracked since enumeration
NPPES CertifiedDecember 18, 2025
NPI 1467251694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentNursing Service Providers
Taxonomy Code163WP0807X
License Licensed in MA · RN2390656
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 889990 (NV)
4000 S EASTERN AVE STE 240, Las Vegas, NV 89119

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

Cham'pane Ta'chell Johnson Rn 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 ID6406330414
PECOS Enrollment IDI20260318001245
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.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
4000 S EASTERN AVE STE 240
LAS VEGAS, NV 89119
Nurse Practitioner (Psychiatric/Mental Health)
4000 S EASTERN AVE STE 240
LAS VEGAS, NV 89119
Social Worker (Clinical)
4000 S EASTERN AVE STE 240
LAS VEGAS, NV 89119
Community/Behavioral Health
4000 S EASTERN AVE STE 240
LAS VEGAS, NV 89119
Community Health Worker
4000 S EASTERN AVE STE 240
LAS VEGAS, NV 89119
Behavior Technician
4000 S EASTERN AVE STE 240
LAS VEGAS, NV 89119
Behavior Technician
4000 S EASTERN AVE STE 240
LAS VEGAS, NV 89119
Community/Behavioral Health
4000 S EASTERN AVE STE 240
LAS VEGAS, NV 89119

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 Cham'pane Johnson's NPI number?

The NPI number for Cham'pane Johnson is 1467251694. It was assigned to this individual provider in the NPPES registry on March 11, 2025.

Where is Cham'pane Johnson located?

Cham'pane Johnson practices at 4000 S Eastern Ave Ste 240, Las Vegas, NV 89119. The listed phone number is (702) 848-1696.

What is Cham'pane Johnson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Child & Adolescent, with taxonomy code 163WP0807X.

Is Cham'pane Johnson enrolled in Medicare?

Yes. Cham'pane Johnson 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 Cham'pane Johnson was last updated on December 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.