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CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR
NPI 1841944196
Nurse Practitioner - Primary Care in Beaumont, TX

Active since February 07, 2022
2850 EASTEX FWY # 100, BEAUMONT, TX 77703(409) 347-8989(409) 347-8979 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 12, 2023, Feb 22, 2022, Feb 7, 2022 (3 updates tracked since 2022).

About Champion Healthcare Group Llc Dba Rolanda Ford Sole Mbr NPPES

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

CHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR (NPI 1841944196) is a healthcare organization registered as a primary care in Beaumont, Texas and active in the NPI registry since February 2022. The organization lists Brandi Pickering, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1841944196
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameCHAMPION HEALTHCARE GROUP LLC DBA ROLANDA FORD SOLE MBR
Location Address2850 EASTEX FWY # 100Beaumont, TX 77703-4645
Mailing Address2850 Eastex Fwy # 100Beaumont, TX 77703-4645 · (409) 347-8989 · Fax (409) 347-8979
Phone(409) 347-8989
Fax(409) 347-8979
Organization SubpartNo
Authorized OfficialBrandi PickeringCredentialing · (409) 239-9467
Enumeration DateFebruary 7, 2022
Last NPPES UpdateJuly 12, 20233 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1841944196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
2850 EASTEX FWY # 100, Beaumont, TX 77703
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Champion Healthcare Group Llc Dba Rolanda Ford Sole Mbr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr, which bills Medicare for the services this clinician delivers.

Clinician (1)

Rolanda Ford, FNP-C
Nurse Practitioner
NPI 1316558885
3080 COLLEGE ST
Beaumont, TX 77701
(409) 212-5000
✔ PECOS2.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr's NPI number?

The NPI number for Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr is 1841944196. It was assigned to this organization in the NPPES registry on February 7, 2022.

Where is Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr located?

Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr is located at 2850 Eastex Fwy # 100, Beaumont, TX 77703. The listed phone number is (409) 347-8989.

What is Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr enrolled in Medicare?

Yes. Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr accept?

Health plans from Blue Cross and Blue Shield of Texas list Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Champion Healthcare Group LLC Dba Rolanda Ford Sole Mbr was last updated on July 12, 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.