Individual provider Active NPI

Elizabeth Champagne-Edmondson, MD

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
National Provider Identifier
1427635283
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301514964 Issued in MI
Practice address
926 N Michigan Ave
Saginaw, MI 48602-4323
Phone
(989) 753-8453
Fax
(989) 755-9983
NPI assigned
Mar 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301514964 MI Primary

Addresses

Primary practice location

926 N Michigan Ave
Saginaw, MI 48602-4323

Mailing address

926 N Michigan Ave
Saginaw, MI 48602-4369
Phone (989) 753-8453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723001272 MI Practitioner - Obstetrics/Gynecology 1951702240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Tulane University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley OB GYN Clinic PCGroup PAC ID 6002803871, 10 clinicians

Practice addresses (Care Compare)

926 N Michicgan Ave
Saginaw, MI 48602-4323
Phone (517) 753-8453

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Valley OB GYN Clinic PC Obstetrics & Gynecology CurrentSince Sep 1, 2025 Accepting new patients
Covenant Medical Center, Inc. Past Accepting new patients

Locations

600 N Main St
Ste 220A
Frankenmuth, MI 48734
Phone (989) 652-1460

117 S Main St
Freeland, MI 48623
Phone (989) 753-8453

117 S Main St
Ste A
Freeland, MI 48623
Phone (989) 753-8453

926 N Michigan Ave
Saginaw, MI 48602
Phone (517) 753-8453

3037 Silverwood Dr
Saginaw, MI 48603
Phone (517) 799-5600

Interoperability endpoints

  • Direct secure messaging: elizabeth.champagne-edmondson.1@20451.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/20451/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1427635283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024369",
            "telephone_number": "989-753-8453",
            "fax_number": "989-755-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024323",
            "telephone_number": "989-753-8453",
            "fax_number": "989-755-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPAGNE-EDMONDSON",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-26",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301514964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.