MRS. REBECCA CHAMPLIN (APRN) – Family Nurse Practitioner, NPI 1356118632
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,196 NURSE PRACTITIONER in CT
Provider Addresses for MRS. REBECCA CHAMPLIN (APRN)
584 Norwich Rd Ste 400
Plainfield, CT 063741727
Phone: (860) 564-9240
Type: Location
45 Wells St Ste 102
Westerly, RI 028912927
Phone: (401) 596-4499
Fax: (401) 596-6360
Type: Location
5 Founders St Ste 102
Willimantic, CT 062262050
Phone: (860) 456-2898
Type: Location
251 W Main St Ste 6
Branford, CT 064054047
Phone: (203) 315-5300
Type: Location
111 SALEM TPKE STE 8
NORWICH, CT 063607403
Phone: (860) 889-9180
Fax: (860) 886-0024
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $254.
Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.
Last reported payment date: 2024-12-05 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($107).
Total Amount
$254
General + Research + Ownership
Payments
11
Total payment records
General Amount
$254
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $107 |
| Boston Scientific Corporation | $70 |
| Medtronic, Inc. | $32 |
| Novo Nordisk Inc | $24 |
| Amgen Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240607001431 | I | Nurse Practitioner | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 06374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| - | CT | |
| - | CT | |
| - | CT | |
| Internal Medicine | CT | |
| Internal Medicine | CT | |
| Nurse Practitioner | CT | |
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | CT |
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