DOMINIQUE F CHAMPION PA-C
NPI 1699282020
Physician Assistant in Las Vegas, NV

Q: What is Dominique Champion's NPI number?

The NPI number for Dominique Champion is 1699282020. It was assigned to this individual provider in the NPPES registry on January 8, 2018. The provider is also known as Dominique Carlos.

Q: What is Dominique Champion's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since January 08, 2018PECOS EnrolledAccepts Medicare Assignment

3150 N TENAYA WAY STE 260, LAS VEGAS, NV 89128(702) 962-5920(702) 240-9984 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2026, Dec 11, 2024, Aug 12, 2024 and 3 more (6 updates tracked since 2018).

On this page

About Dominique F Champion Pa-c NPPES

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

DOMINIQUE F CHAMPION PA-C (NPI 1699282020) is an individual physician assistant in Las Vegas, Nevada, licensed in Nevada (PA1929) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1699282020

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameDOMINIQUE F CHAMPIONCredential: PA-C

Location Address3150 N TENAYA WAY STE 260Las Vegas, NV 89128-0459

Mailing Address4000 Wellness DrMidland, MI 48670-1000 · (844) 832-1956 · Fax (989) 633-5241

Phone(702) 962-5920

Fax(702) 240-9984

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJanuary 8, 2018

Last NPPES UpdateMay 7, 20266 updates tracked since enumeration

NPPES CertifiedMay 7, 2026

✔ NPI 1699282020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NV · PA1929✔ Licensed in MI · 5601013904

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA-1334 (AR), 10004488A (IN)

3150 N TENAYA WAY STE 260, Las Vegas, NV 89128

Open in Google Maps ↗

Other Names 1

Former Name (1)Dominique Carlos

Secondary Practice Locations 3

Location 14301 W Markham St # 532Little Rock, AR 72205-7101 · Phone (501) 686-5311 · Fax (501) 686-5935

Location 22651 E Discovery PkwyBloomington, IN 47408-9059 · Phone (812) 334-5081 · Fax (812) 334-5091

Location 32660 W Sugnet RdMidland, MI 48640-2647 · Phone (989) 488-5410 · Fax (989) 488-5411

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, CareSource, Health Advantage and more.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

Dominique F Champion Pa-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 ID4183985161

PECOS Enrollment IDI20240819001274, I20241217004414

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.

Harvest of vein using an endoscope 33508

Harvesting a vein using an endoscope is a procedure where a small camera is used to help surgeons remove a vein from your body. This vein is often used to bypass a blocked artery, improving blood flow to your heart.

14 services14 patients

Coronary artery bypass using artery graft, 1 graft 33533

A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health Bloomington Hospital

Acute Care Hospitals · Bloomington, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150051

Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89128 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

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

DEEPAK MALHOTRA M.D.

Thoracic Surgery (Cardiothoracic Vascular Surgery)