MACKENZIE ANNE CHAMP, N.D., LA.c — NPI 1588090856 (Licensed & Credentialed Naturopath in NEHALEM, OR)

CMS-1500 Box 24J / 33a • NPI

1588090856

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

175F00000X

Licensed & Credentialed Naturopath

Box 32 Service Location & ZIP+4

35890 HIGHWAY 101 N, NEHALEM, OR, 97131-9599

✓ 9-Digit EDI 837 ZIP+4 (97131-9599)

Practice Phone & Referral Fax

(503) 368-4312

Fax: (503) 368-4315

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1588090856 (MACKENZIE ANNE CHAMP, N.D., LA.c) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1588090856` (NPI-1 Individual Practitioner)
Provider / Legal Name	MACKENZIE ANNE CHAMP, N.D., LA.c
Plain-English Specialty	Licensed & Credentialed Naturopath NUCC Code: `175F00000X` (Naturopath)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	35890 HIGHWAY 101 N, NEHALEM, OR, 97131-9599
Practice Telephone / Fax	Tel: (503) 368-4312 \| Fax: (503) 368-4315
Administrative Mailing Address	PO BOX 504, NEHALEM, OR, 97131-0504
Enumeration & Last Sync	Enumerated: 2013-09-18 \| CMS Record Updated: 2015-01-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

35890 HIGHWAY 101 N, NEHALEM, OR, 97131-9599

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Plain-English Taxonomy & CMS Crosswalk (175F00000X)

What Does Taxonomy Code 175F00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 175F00000X translates to:
"Licensed & Credentialed Naturopath"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Naturopath for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MACKENZIE ANNE CHAMP, N.D., LA.c)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`171100000X` — Acupuncturist Plain English: Licensed & Credentialed Acupuncturist	State: OR \| License: `156719` \| Primary: Secondary
`173C00000X` — Reflexologist Plain English: Licensed & Credentialed Reflexologist	State: OR \| License: `14010` \| Primary: Secondary
`175F00000X` — Naturopath Plain English: Licensed & Credentialed Naturopath	State: OR \| License: `2005` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MACKENZIE ANNE CHAMP, N.D., LA.c (NPI #1588090856)