ELIJAH CHAMPAGNE (DC) – Chiropractor, NPI 1245038041

ELIJAH CHAMPAGNE (DC) is a healthcare provider. based in Lacey, Washington. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. CH61648976 (WA). The NPI Number for ELIJAH CHAMPAGNE (DC) is 1245038041

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
ELIJAH CHAMPAGNE (DC)
NPI
1245038041
Phone
Not provided
Address
8650 MARTIN WAY E STE 207
Enumeration Date
6 March 2025
Last Update Date
6 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3609514504
Graduation Year
2024 (2 years ago)
PAC ID
8022535087
Group Practice PAC ID
7810210234
Professional Enrollment ID
I20250505000698
Address ID
WA985166610LA8650XEXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,415 CHIROPRACTIC in WA

Provider Addresses for ELIJAH CHAMPAGNE (DC)

  • 8650 MARTIN WAY E STE 207

    LACEY, WA 985166610

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-05-05

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
I20250505000698IChiropracticWATBD

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 98516)

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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: 7810210234View full group profile
NameSpecialtyState
C H I R O P R A C T I CWA
C H I R O P R A C T I CWA

Reviews

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Frequently asked questions

What is the 10-digit NPI for ELIJAH CHAMPAGNE (DC)?
ELIJAH CHAMPAGNE (DC) — NPI 1245038041 — is the standard way to identify this listing.
Does CMS list ELIJAH CHAMPAGNE (DC) as active?
Yes — ELIJAH CHAMPAGNE (DC) is active in the NPI listing used on this page.
What is ELIJAH CHAMPAGNE (DC)'s primary classification?
Chiropractor is the headline specialty for ELIJAH CHAMPAGNE (DC) here. Clinical services aligned with this taxonomy classification.
Does ELIJAH CHAMPAGNE (DC) list a practice location?
Patients near Lacey, Washington may find ELIJAH CHAMPAGNE (DC) in results; validate coverage separately.
Why does ELIJAH CHAMPAGNE (DC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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