ELIZABETH CHAMPAGNE-EDMONDSON (MD) – Obstetrics & Gynecology Physician, NPI 1427635283

ELIZABETH CHAMPAGNE-EDMONDSON (MD) is a healthcare provider. based in Saginaw, Michigan. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 4301514964 (MI). The NPI Number for ELIZABETH CHAMPAGNE-EDMONDSON (MD) is 1427635283

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
ELIZABETH CHAMPAGNE-EDMONDSON (MD)
NPI
1427635283
Phone
(989) 753-8453
Address
926 N MICHIGAN AVE
Enumeration Date
26 March 2021
Last Update Date
10 July 2025

Doctor Profile

Medical School Name
TULANE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5177538453
Graduation Year
2025 (1 year ago)
PAC ID
1951702240
Group Practice PAC ID
6002803871
Professional Enrollment ID
I20250723001272
Address ID
MI486024323SA926XXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

1,734 OBSTETRICS/GYNECOLOGY in MI

Provider Addresses for ELIZABETH CHAMPAGNE-EDMONDSON (MD)

  • 926 N MICHIGAN AVE

    SAGINAW, MI 486024369

    Phone: (989) 753-8453

    Fax: (989) 755-9983

    Type: Mailing

  • 1430 TULANE AVE # 8611

    NEW ORLEANS, LA 701122632

    Phone: (504) 988-5216

    Fax: (504) 988-7144

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $53.

Total Amount is formed as General ($53) + Research ($0) + Ownership ($0) = $53.

Last reported payment date: 2024-09-03 • Largest payer in this snapshot: Dilon Technologies, Inc. ($31).

Total Amount

$53

General + Research + Ownership

Payments

2

Total payment records

General Amount

$53

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-07-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250723001272IObstetrics/GynecologyMITBD

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.

Verify on CMS Revalidation Lookup Tool

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 48602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002803871View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Obstetrics/Gynecology, Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Obstetrics/Gynecology, Family Practice, Osteopathic Manipulative MedicineMI
-MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI

Reviews

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Frequently asked questions

Does ELIZABETH CHAMPAGNE-EDMONDSON (MD) have a public NPI I can cite?
Public records show ELIZABETH CHAMPAGNE-EDMONDSON (MD) under NPI 1427635283.
Does the public listing show ELIZABETH CHAMPAGNE-EDMONDSON (MD) as active?
ELIZABETH CHAMPAGNE-EDMONDSON (MD)'s NPI record reflects an active status in NPPES.
Which specialty label fits ELIZABETH CHAMPAGNE-EDMONDSON (MD)?
NPPES ties ELIZABETH CHAMPAGNE-EDMONDSON (MD) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to ELIZABETH CHAMPAGNE-EDMONDSON (MD)?
ELIZABETH CHAMPAGNE-EDMONDSON (MD) shows a connection to Saginaw, Michigan in registry-derived data.
Who maintains ELIZABETH CHAMPAGNE-EDMONDSON (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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