Sapphira Champange Pranger, CNM is a medicare enrolled "Advanced Practice Midwife" in Kokomo, Indiana. Her current practice location is
2130 W Sycamore St Ste 260, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 236-8457.
Sapphira Champange Pranger is licensed to practice in Indiana (license number 71016262A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1295593721.
Provider's Profile
Full Name | Sapphira Champange Pranger |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 2130 W Sycamore St Ste 260, Kokomo, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1295593721
- Provider Enumeration Date: 03/11/2024
- Last Update Date: 05/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345689899
- Enrollment ID: I20240416003203
Medical Identifiers
Medical identifiers for Sapphira Champange Pranger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295593721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 09000459A (Indiana) | Secondary |
367A00000X | Advanced Practice Midwife | APRN.CNM.0019615 (Ohio) | Secondary |
367A00000X | Advanced Practice Midwife | 71016262A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sapphira Champange Pranger allows following entities to bill medicare on her behalf.
Entity Name | Trihealth H Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811215742 PECOS PAC ID: 1850570458 Enrollment ID: O20110128000356 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sapphira Champange Pranger is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Sapphira Champange Pranger, CNM 3219 Clifton Ave Ste 210, Cincinnati, OH 45220-3041 Ph: (513) 751-5900 | Sapphira Champange Pranger, CNM 2130 W Sycamore St Ste 260, Kokomo, IN 46901-6460 Ph: (765) 236-8457 |
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