Champ Phuphanich, FNP
NPI 1023765427ActiveIndividual· Nurse Practitioner, Family· Thibodaux, LA
Nurse Practitioner, Family (FNP) with Independence Emergency Group LLC and 2 other groups, practicing in Thibodaux, Louisiana. 73 Medicare patients in 2024, $6,107 paid; nearly all of their 216 Part D prescriptions were generic (94%).
Overview
| NPI | 1023765427 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Mar 4, 2022 |
| Last updated in NPPES | Apr 16, 2024 |
| Certified by provider | Mar 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 224407 | LA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (LA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 73 |
|---|---|
| Services billed | 155 across 31 procedure codes |
| Paid by Medicare | $6,107 |
Part D prescriptions in 2024
| Prescriptions (claims) | 216 · 228 30-day fills |
|---|---|
| Patients | 141 |
| Total drug cost | $2,178 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Independence Emergency Group LLCNew Orleans, LA · 21 clinicians
- St Mary Emergency Group LLCMorgan City, LA · 15 clinicians
- Bayoumd Urgent Healthcare LLCThibodaux, LA · 10 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other family nurse practitioners in Thibodaux
- 1023620259
- 1073210464
- 1134791635
- 1285314690
- 1306408026
- 1366129769
- 1366170714
- 1396529822
- 1467861609
- 1497497119
- 1538596739
- 1740776210
All 44 family nurse practitioners in Thibodaux · All family nurse practitioners in Louisiana