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CHAMPION MED EXPRESS CARE LLC
NPI 1881356210
Clinic/Center - Urgent Care in Warren, OH

Active since October 13, 2021CLIA 36D2255479 · Waiver
4687 MAHONING AVE NW, WARREN, OH 44483(330) 847-7778(330) 847-6695 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2026, Oct 13, 2021 (2 updates tracked since 2021).

About Champion Med Express Care Llc NPPES

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

CHAMPION MED EXPRESS CARE LLC (NPI 1881356210) is a healthcare organization registered as an urgent care in Warren, Ohio and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through March 14, 2028 and lists Melissa Bendon, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1881356210
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCHAMPION MED EXPRESS CARE LLC
Location Address4687 MAHONING AVE NWWarren, OH 44483-1418
Mailing Address4687 Mahoning Ave NwWarren, OH 44483-1418 · (330) 847-7778 · Fax (330) 847-6695
Phone(330) 847-7778
Fax(330) 847-6695
Organization SubpartNo
Authorized OfficialMelissa BendonOffice Manager · (330) 847-7778
Enumeration DateOctober 13, 2021
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1881356210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedClinic/Center · Radiology, MobileTaxonomy 261QR0208X
4687 MAHONING AVE NW, Warren, OH 44483
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, MedMutual, Molina Healthcare.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 Med Express Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Champion Med Express Care LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Zachary Veres, DO
Family Practice
NPI 1285619239
4681 MAHONING AVE NW
Warren, OH 44483
(330) 847-7778
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Kaiser, CNP
Nurse Practitioner
NPI 1619492774
1350 E MARKET ST
Warren, OH 44483
(330) 841-9221
✔ PECOS✔ Accepts Medicare4.2 mi
Monya Robinson
Nurse Practitioner
NPI 1598328734
1350 E MARKET ST
Warren, OH 44483
(330) 841-9011
✔ PECOS✔ Accepts Medicare4.2 mi
Victor Mckee, M.D.
Emergency Medicine
NPI 1134105638
8401 MARKET ST
Youngstown, OH 44512
(330) 729-2929
✔ PECOS22 mi
Shawn Millison, APRN.CNP
Nurse Practitioner
NPI 1477122174
715 E WESTERN RESERVE RD
Poland, OH 44514
(330) 726-3204
✔ PECOS✔ Accepts Medicare23 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2255479

Champion Med Express Care, LLC · Warren, OH
Active · expires Mar 14, 2028
CLIA Number36D2255479
Laboratory TypeUrgent Care
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorZachary F. Veres
Laboratory Phone(330) 847-1130
Laboratory LocationChampion Med Express Care, LLC4687 Mahoning Ave NW, Warren, OH 44483
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Med Express Care LLC's NPI number?

The NPI number for Champion Med Express Care LLC is 1881356210. It was assigned to this organization in the NPPES registry on October 13, 2021.

Where is Champion Med Express Care LLC located?

Champion Med Express Care LLC is located at 4687 Mahoning Ave NW, Warren, OH 44483. The listed phone number is (330) 847-7778.

What is Champion Med Express Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Champion Med Express Care LLC enrolled in Medicare?

Yes. Champion Med Express Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Champion Med Express Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Champion Med Express Care LLC. 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. The largest specialties are Nurse Practitioner (3), Emergency Medicine (1) and Family Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Champion Med Express Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2255479) is associated with this NPI, valid through March 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Champion Med Express Care LLC accept?

Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Molina Healthcare list Champion Med Express Care LLC 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 Med Express Care LLC was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.