Champion Community Partners, LLC
NPI 1922989144 · Psychiatric/Mental Health Nurse Practitioner · Massapequa Park, NY
Champion Community Partners, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Massapequa Park, NY (NPI 1922989144).
Provider details
- NPI number
- 1922989144
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Tracey Wallace, Vp Ops(631) 696-4357
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-12
- Last updated
- 2025-09-12
- Certified
- 2025-09-12
Frequently asked questions
- What is Champion Community Partners, LLC's NPI number?
- Champion Community Partners, LLC's National Provider Identifier (NPI) is 1922989144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Champion Community Partners, LLC?
- Champion Community Partners, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Champion Community Partners, LLC located?
- Champion Community Partners, LLC's practice location on file with NPPES is 5100 Sunrise Hwy, Massapequa Park, NY 11762-2935.
- What is Champion Community Partners, LLC's phone number?
- The practice phone number listed in the NPPES registry for Champion Community Partners, LLC is (631) 696-4357.
- Who is the authorized official for Champion Community Partners, LLC?
- The authorized official listed on Champion Community Partners, LLC's NPPES record is Tracey Wallace, Vp Ops. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Champion Community Partners, LLC's NPI active?
- Yes — Champion Community Partners, LLC's NPI (1922989144) is active in the NPPES registry as of the last update on 2025-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.