Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique F Champion, PA-C

Individual provider Surgical Physician Assistant · NPI 1699282020

Dominique F Champion, PA-C is a Physician Assistant in Las Vegas, Nevada. Qualified in 2017, 9 years ago. Practices with Iu Health Medical Group, LLC, a 4,351-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arkansas, Indiana, Michigan and Nevada.

Years since qualifying
9
Licensed in
AR, IN, MI, NV
In the registry since
2018
Specialties on file
4
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3150 N Tenaya Way Ste 260
Las Vegas, NV 89128-0459
Phone: (702) 962-5920
Fax: (702) 240-9984
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 4301 W Markham St # 532, Little Rock, AR 72205-7101 — (501) 686-5311
  • 2651 E Discovery Pkwy, Bloomington, IN 47408-9059 — (812) 334-5081
  • 2660 W Sugnet Rd, Midland, MI 48640-2647 — (989) 488-5410

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA1929 (NV)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA-1334 (AR)
Physician Assistant Taxonomy 363A00000X · Licence 5601013904 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 10004488A (IN)

Record details

NPI number1699282020
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 8, 2018
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Iu Health Medical Group, Llc — 4351 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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