DR. JON-PAUL CHAMPINE PSY.D.
NPI 1982698833
Psychologist - Clinical in Kenilworth, IL

Q: What is Jon-paul Champine's NPI number?

The NPI number for Jon-paul Champine is 1982698833. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Q: What is Jon-paul Champine's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jon-paul Champine was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 07, 2005PECOS EnrolledAccepts Medicare Assignment

503 PARK DR STE 6, KENILWORTH, IL 60043(847) 571-4985 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Jon-paul Champine Psy.d. NPPES

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

DR. JON-PAUL CHAMPINE PSY.D. (NPI 1982698833) is an individual clinical provider in Kenilworth, Illinois, licensed in Illinois (071006739) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1982698833

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JON-PAUL CHAMPINECredential: PSY.D.

Location Address503 PARK DR STE 6Kenilworth, IL 60043-1094

Mailing Address503 Park Dr Ste 6Kenilworth, IL 60043-1094 · (847) 571-4985

Phone(847) 571-4985

Sole ProprietorYes

Medical School CMSOtherGraduated 2003

Enumeration DateSeptember 7, 2005

Last NPPES UpdateJuly 30, 2025

NPPES CertifiedJuly 30, 2025

✔ NPI 1982698833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in IL · 071006739

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

503 PARK DR STE 6, Kenilworth, IL 60043

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jon-paul Champine Psy.d. 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 ID2860452182

PECOS Enrollment IDI20041012000887

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.

Medicare Billing Reassignment

Medicare enrollment records show Jon-paul Champine reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jon-Paul Champine, Psy.D., P.C.

1.7 mi

Clinical

2530 CRAWFORD AVE, SUITE 315
Evanston, IL 60201

Reassigned Medicare billing, Illinois enrollment

NPI 1629377882 (847) 869-4650

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60043 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

$183.39 typical visit price

range $60.08 – $183.39

Typical copayment $45.84 (range $15.02 – $45.84)

Most-billed visit code 99205

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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 Jon-paul Champine's NPI number?

The NPI number for Jon-paul Champine is 1982698833. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Jon-paul Champine located?

Jon-paul Champine practices at 503 Park Dr Ste 6, Kenilworth, IL 60043. The listed phone number is (847) 571-4985.

What is Jon-paul Champine's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jon-paul Champine enrolled in Medicare?

Yes. Jon-paul Champine 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.

Which organization bills Medicare for Jon-paul Champine's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon-paul Champine reassigns Medicare benefits to Jon-Paul Champine, Psy.D., P.C. (Evanston, IL). The 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 Jon-paul Champine's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon-paul Champine accept?

Health plans from Oscar Health list Jon-paul Champine 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 Jon-paul Champine was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.