Individual provider Active NPI

Maggie S Champion, MSN, FNP-BC

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1073657573
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991931-NP Issued in CO
Practice address
4604 Skyline Dr
Fort Collins, CO 80526-4715
Phone
(970) 215-6165
NPI assigned
Feb 16, 2007
Last updated
Feb 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 178420 CO
Family Nurse Practitioner 363LF0000X RXN06-275 CO
Family Nurse Practitioner 363LF0000X APN.0991931-NP CO Primary

Addresses

Primary practice location

4604 Skyline Dr
Fort Collins, CO 80526-4715

Mailing address

4604 Skyline Dr
Fort Collins, CO 80526-4715
Phone (970) 215-6165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070323000570 CO Practitioner - Nurse Practitioner 3678583093 Reassigns benefits to 3 organizations
I20170125000297 WY Practitioner - Nurse Practitioner 3678583093 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
178420COMDFamily Nurse Practitioner
APN.0991931-NPCOMDFamily Nurse Practitioner
RXN06-275COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
College Drive Urgent Care LLC CurrentSince Dec 14, 2016 Accepting new patients
Firstdoc PC CurrentSince Jul 2, 2025 Accepting new patients
Preferred Podiatry Group PC CurrentSince Feb 15, 2024 Accepting new patients
Homedoc, PC CurrentSince Jun 27, 2025 Accepting new patients
Medi Horizons Inc Past Accepting new patients
Colorado Urgent Care PLLC PastSince Aug 2, 2020 Accepting new patients
Ice Healthcare Service PC Past Accepting new patients
DHHS PHS Naihs Fort Defiance Hospital Past Accepting new patients
Champion Family Medical & Wellness Center- Urgent Care Past Accepting new patients

Locations

1690 Meade St
Denver, CO 80204
Phone (303) 264-6854

8354 E Northfield Blvd
#329
Denver, CO 80238
Phone (720) 607-9207

1365 W 29th St
Loveland, CO 80538
Phone (970) 388-3279

1330 Sidney Ave
Sterling, CO 80751
Phone (970) 522-4888

615 Fairhurst St
Sterling, CO 80751
Phone (970) 521-0322

2030 Bluegrass Cir
Cheyenne, WY 82009
Phone (307) 635-3500

4136 Laramie St
Unit B
Cheyenne, WY 82001
Phone (307) 637-2800

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1073657573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 SKYLINE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805264715",
            "telephone_number": "970-215-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 SKYLINE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805264715",
            "telephone_number": "970-215-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "MAGGIE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "178420",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "RXN06-275",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991931-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.