Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicole Kristen Champine

Individual provider Registered Nurse · NPI 1790670651

Nicole Kristen Champine is a Nurse Practitioner in San Antonio, Texas. Qualified in 2025, 1 year ago. Practices with Methodist Physician Practices PLLC, a 173-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1139 E Sonterra Blvd
San Antonio, TX 78258-4347
Phone: (210) 874-3359
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1205296 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 961593 (TX)

Record details

NPI number1790670651
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2025
Last updated in NPPESJuly 6, 2025
Certification dateJuly 5, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Methodist Physician Practices Pllc — 173 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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