CHAMPION MATTHEW WHITE — NPI 1659164648 (Licensed & Credentialed Technician, Personal Care Attendant in PIERCE, NE)

CMS-1500 Box 24J / 33a • NPI

1659164648

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

3747P1801X

Licensed & Credentialed Technician, Personal Care Attendant

Box 32 Service Location & ZIP+4

85253 549 AVE, PIERCE, NE, 68767-3506

✓ 9-Digit EDI 837 ZIP+4 (68767-3506)

Practice Phone & Referral Fax

(402) 992-3059

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1659164648 (CHAMPION MATTHEW WHITE) 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	`1659164648` (NPI-1 Individual Practitioner)
Provider / Legal Name	CHAMPION MATTHEW WHITE
Plain-English Specialty	Licensed & Credentialed Technician, Personal Care Attendant NUCC Code: `3747P1801X` (Technician, Personal Care Attendant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	85253 549 AVE, PIERCE, NE, 68767-3506
Practice Telephone / Fax	Tel: (402) 992-3059
Administrative Mailing Address	85253 549 AVE, PIERCE, NE, 68767-3506
Enumeration & Last Sync	Enumerated: 2025-05-23 \| CMS Record Updated: 2025-05-23

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

85253 549 AVE, PIERCE, NE, 68767-3506

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Plain-English Taxonomy & CMS Crosswalk (3747P1801X)

What Does Taxonomy Code 3747P1801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 3747P1801X translates to:
"Licensed & Credentialed Technician, Personal Care Attendant"

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 Technician, Personal Care Attendant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHAMPION MATTHEW WHITE)

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
`372500000X` — Chore Provider Plain English: Licensed & Credentialed Chore Provider	State: N/A \| License: `Verified` \| Primary: Secondary
`372600000X` — Adult Companion Plain English: Licensed & Credentialed Adult Companion	State: N/A \| License: `Verified` \| Primary: Secondary
`3747P1801X` — Technician, Personal Care Attendant Plain English: Licensed & Credentialed Technician, Personal Care Attendant	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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CHAMPION MATTHEW WHITE (NPI #1659164648)