Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Larenzo A Champagne, FNP-BC

Individual provider Nurse Practitioner · NPI 1619791159

Larenzo A Champagne, FNP-BC is a Nurse Practitioner in Charleston, South Carolina. Qualified in 2024, 2 years ago. Practices with Southeastern Hospitalist Services PC, a 307-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
2
Licensed in
SC
In the registry since
2024
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone: (843) 876-7080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 29350 (SC)

Record details

NPI number1619791159
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedNovember 12, 2024
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southeastern Hospitalist Services Pc — 307 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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