Individual provider Active NPI

Erika Danielle Champion, FNP

  • Family Nurse Practitioner
  • Crofton, KY
National Provider Identifier
1881456036
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4014897 Issued in KY
Practice address
241 S Madisonville St
Crofton, KY 42217-8009
Phone
(280) 220-0240
NPI assigned
Jan 24, 2024
Last updated
Feb 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4014897 KY Primary

Addresses

Primary practice location

241 S Madisonville St
Crofton, KY 42217-8009

Mailing address

241 S Madisonville St
Crofton, KY 42217-8009
Phone (280) 220-0240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240403000733 KY Practitioner - Nurse Practitioner 8921446410 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians
Hopkinsville Family Care PSCGroup PAC ID 1759642432, 3 clinicians

Practice addresses (Care Compare)

10755 Eagle Way
Suite 100
Hopkinsville, KY 42240-8742
Phone (270) 887-0270

1914 S Virginia St
Hopkinsville, KY 42240-3610
Phone (270) 220-0366

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4014897KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crofton Clinic PSC CurrentSince Mar 1, 2024 Accepting new patients
Jennie Stuart Medical Center Inc Family Current Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Apr 6, 2024 Accepting new patients
Hopkinsville Family Care PSC CurrentSince Jul 1, 2024 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Apr 6, 2024 Accepting new patients
Jennie Stuart Medical Center Inc PastSince Jan 28, 2024 Accepting new patients

Locations

241 S Madisonville St
Crofton, KY 42217
Phone (270) 220-0240

10755 Eagle Way
Ste 100
Hopkinsville, KY 42240
Phone (270) 887-0270

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

1914 S Virginia St
Hopkinsville, KY 42240
Phone (270) 220-0366

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

Organizations & group practices 6

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.

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": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1881456036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 S MADISONVILLE ST",
            "city": "CROFTON",
            "state": "KY",
            "postal_code": "422178009",
            "telephone_number": "280-220-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 S MADISONVILLE ST",
            "city": "CROFTON",
            "state": "KY",
            "postal_code": "422178009",
            "telephone_number": "280-220-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "ERIKA",
        "middle_name": "DANIELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4014897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, KY

Sources for this page

Verify at the official NPI Registry.