WHITNEY L CHAMPA PA-C
NPI 1730487851
Physician Assistant in Dickinson, ND
Quality Rating: 79.87 out of 100 score
NPI Status: Active since March 14, 2011
Contact Information
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
Phone: (701) 456-6000
Fax: (701) 456-6101
- NPI Profile Information
- Primary Taxonomy
- Insurance Plans Accepted
- Medicare Participation & PECOS Status
- Areas of Expertise
- Durable Medical Equipment
- Physician Visit Costs
- Overall Quality Performance
- Hospital Affiliations - Privileges
- NPI Validation
- Other Providers Same Location
- Frequently Asked Questions
- Individual
- Female
- Years of Experience 16
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About WHITNEY CHAMPA
This page provides the complete NPI Profile along with additional information for Whitney Champa, a primary care provider established in Dickinson, North Dakota with a medical specialization in Physician Assistant and more than 16 years of experience. The healthcare provider is registered in the NPI registry with number 1730487851 assigned on March 2011. The practitioner's primary taxonomy code is 363A00000X with license number PAC0450 (ND). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1730487851
- Provider Name
- WHITNEY L CHAMPA PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2615 FAIRWAY ST DICKINSON, ND 58601
- Location Phone
- (701) 456-6000
- Location Fax
- (701) 456-6101
- Mailing Address
- 2615 FAIRWAY ST DICKINSON, ND 58601
- Mailing Phone
- (701) 456-6000
- Mailing Fax
- (701) 456-6101
- Medical School Name
- OTHER
- Graduation Year
- 2010
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-14-2011
- Last Update Date
- 06-08-2020
- Code Navigator
A primary care provider (PCP) like Whitney Champa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PAC0450
- License State
- ND
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) - PPO
- BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) - PPO
- BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) - PPO
- BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) - PPO
- BlueEssential Catastrophic 100 $9200 Deductible - PPO
- BlueValue Bronze $50 PCP Copay (Standardized plan) - PPO
- BlueValue Gold $30 PCP Copay (Standardized plan) - PPO
- BlueValue Silver $40 PCP Copay (Standardized plan) - PPO
- DakotaBlue Altru Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Altru Silver ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Gold ($5 Value Based Drug List) - PPO
- DakotaBlue Trinity Silver ($5 Value Based Drug List) - PPO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze HSA - EPO
- Medica Individual Choice Bronze Share - EPO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - EPO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - EPO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - EPO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - EPO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - EPO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - EPO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver Standard - EPO
- Medica Individual Choice Silver Standard - HMO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Whitney Champa is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Whitney Champa is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2264604974
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110930000186
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
6 DME suppliers used 29 Medicare Claims 65 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
5 DME suppliers used 13 Medicare Claims 17 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Adm sarscv2 30mcg trs-sucr b
Administration of influenza virus vaccine
Administration of pneumococcal vaccine
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Fee covid-19 vac 13 res
Influenza vaccine split virus, preservative free
Injection of drug or substance under skin or into muscle
Routine electrocardiogram (ecg) using at least 12 leads with tracing
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
This service was performed 22 times for 22 patientsThe administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 45 times for 45 patientsThe pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
This service was performed 14 times for 14 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 48 times for 38 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 95 times for 84 patientsThe "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
This service was performed 27 times for 27 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 38 times for 38 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 34 times for 16 patientsAn Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
This service was performed 13 times for 12 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.42 for a new patient copayment and $17.37 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 58601 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $55.75
- Maximum New Patient Price $168.12
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.93
- Maximum New Patient Copayment $42.03
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.48
- Minimum Established Patient Price $18.11
- Maximum Established Patient Price $137.65
- Average Established Patient Copayment $17.37
- Minimum Established Patient Copayment $4.52
- Maximum Established Patient Copayment $34.41
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 79.87, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 79.87 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 79.54
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 100
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 53.37
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 53.37
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Whitney Champa is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SANFORD MEDICAL CENTER BISMARCK | 300 N 7TH ST BISMARCK, ND 58506 | (701) 323-6000 | Acute Care Hospitals | |
CHI ST ALEXIUS HEALTH DICKINSON | 2500 FAIRWAY STREET DICKINSON, ND 58601 | (701) 456-4000 | Critical Access Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 3 | 0 | 4 | 8 | 7 | 8 | 5 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 6 | 0 | 8 | 8 | 14 | 8 | 10 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 6 + 0 + 8 + 8 + 1 + 4 + 8 + 1 + 0 + 24 = 69 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 69 = 1 | 1 |
The NPI number 1730487851 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. NICOLAS JAMES HAYES DO
Surgery
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
ERICA HOFLAND M.D.
Obstetrics & Gynecology
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
MS. KAMI L PETERSON BSN, RN, FNP-C
Nurse Practitioner
(Family)
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
COLIN HULM ATC, MATRG
Specialist/Technologist
(Athletic Trainer)
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
ALLISON BROWNING CST-SSA
Student in an Organized Health Care Education/Training Program
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
KRISTINE NICOLE GAYDA FNP-C
Nurse Practitioner
(Pediatrics)
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
LARISSA ANN KOHLER PA-C
Physician Assistant
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
CLARK J FULLMER II DPM
Podiatrist
(Foot & Ankle Surgery)
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
ANNA JADE NEWBY NP-C
Nurse Practitioner
(Family)
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
NABEEL MANZAR
Pediatrics
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
JEFFERY D STOCKWELL N.P.
Nurse Practitioner
(Family)
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
NICOLETTE LYN TIPPETT RN, BSN, CDE
Registered Nurse
(Diabetes Educator)
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
MICHAEL MILLER
Physical Therapist
(Orthopedic)
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
RYAN MICHAEL ZIMMERMANN
Family Medicine
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
EMILY SUZANNE ECKROTH MD
Family Medicine
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
RIA EATON OT
Occupational Therapist
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
AMANDA SKLUZACEK PT
Physical Therapist
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
SHELBY NICOLE DVORAK M.D.
Family Medicine
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
ERICA WALD
Nurse Practitioner
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
MARC RICKS M.D.
Pediatrics
2615 FAIRWAY ST
DICKINSON, ND
ZIP 58601
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730487851, enumerated as an "individual" on March 14, 2011.
The provider is located at 2615 FAIRWAY ST DICKINSON, ND 58601 and the phone number is (701) 456-6000.
Physician Assistant with taxonomy code 363A00000X.
The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota, Medica and. Please consult your insurance carrier or call the provider to verify.
Whitney Champa is affiliated with: SANFORD MEDICAL CENTER BISMARCK and CHI ST ALEXIUS HEALTH DICKINSON.