LARENZO A CHAMPAGNE FNP-BC
NPI 1619791159
Nurse Practitioner in Charleston, SC

Q: What is Larenzo Champagne's NPI number?

The NPI number for Larenzo Champagne is 1619791159. It was assigned to this individual provider in the NPPES registry on November 12, 2024. The provider is also known as Larenzo Antonio Champagne.

Q: What is Larenzo Champagne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Larenzo Champagne was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since November 12, 2024PECOS EnrolledAccepts Medicare Assignment

9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406(843) 876-7080 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Larenzo A Champagne Fnp-bc NPPES

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

LARENZO A CHAMPAGNE FNP-BC (NPI 1619791159) is an individual nurse practitioner in Charleston, South Carolina, licensed in South Carolina (29350) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Colleton Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619791159

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameLARENZO A CHAMPAGNECredential: FNP-BC

Location Address9330 MEDICAL PLAZA DRCharleston, SC 29406-9104

Mailing Address314 Woodgate WaySummerville, SC 29485-7481 · (843) 860-9127

Phone(843) 876-7080

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 12, 2024

Last NPPES UpdateNovember 26, 2024

NPPES CertifiedNovember 26, 2024

✔ NPI 1619791159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · 29350

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

9330 MEDICAL PLAZA DR, Charleston, SC 29406

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Other Names 1

Other Name (5)Larenzo Antonio Champagne

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

Larenzo A Champagne Fnp-bc 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 ID8628507530

PECOS Enrollment IDI20250122001729

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.

Hospital Affiliations CMS Care Compare 2

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

Colleton Medical Center

Acute Care Hospitals · Walterboro, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420030

Location501 Robertson BoulevardWalterboro, SC 29488 · Colleton County

Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 20

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

MR. RICHARD DALE BRINSON MSN, APRN, NP-C

Nurse Practitioner (Acute Care)

9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406

Charleston County (843) 847-4595

DR. DARRYL EDWARD MCFARLAND MD

Internal Medicine (Critical Care Medicine)

9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406

Charleston County (843) 797-7000

ROSSEN IVANOV KIRKOV MD

Emergency Medicine

9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406

Charleston County (843) 797-7000

MORGAN ELISABETH HUNT

Student in an Organized Health Care Education/Training Program

9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406

Charleston County (843) 797-7000

DR. ALLISON LUNDY MCCRAE MD

Surgery

9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406

Charleston County (843) 797-7000

DR. SARAH CARTER PT, DPT

Physical Therapist

9330 MEDICAL PLAZA DR
NORTH CHARLESTON, SC 29406

Charleston County (843) 797-7000

DR. VINCENT PAUL GRZYWACZ II MD

Radiology (Radiation Oncology)

9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406

Charleston County (843) 847-4571

MISBHA ANJUM MD

Student in an Organized Health Care Education/Training Program

9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406

Charleston County (843) 847-5620

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 Larenzo Champagne's NPI number?

The NPI number for Larenzo Champagne is 1619791159. It was assigned to this individual provider in the NPPES registry on November 12, 2024. The provider is also known as Larenzo Antonio Champagne.

Where is Larenzo Champagne located?

Larenzo Champagne practices at 9330 Medical Plaza Dr, Charleston, SC 29406. The listed phone number is (843) 876-7080.

What is Larenzo Champagne's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Larenzo Champagne enrolled in Medicare?

Yes. Larenzo 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.

Is Larenzo Champagne affiliated with any hospitals?

According to CMS data, Larenzo Champagne is affiliated with Colleton Medical Center and Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Larenzo Champagne was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.