Active NPI
Evan Loukusa
- Family Medicine Physician
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4351046811
- Practice address
- 850 W Baraga Ave
Marquette, MI 49855-4550 - Phone
- (906) 449-3000
- NPI assigned
- Apr 24, 2020
- Last updated
- Sep 25, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 4351046811 | MI | Primary |
Addresses
Primary practice location
850 W Baraga Ave
Marquette, MI 49855-4550
Mailing address
1025 W Washington St Ste a
Marquette, MI 49855-4031
Phone (906) 239-5050
Other practice location 1
700 W Washington St Ste B
Marquette, MI 49855-4164
Phone (906) 239-3993
Other practice location 2
1025 W Washington St Ste A
Marquette, MI 49855-4031
Phone (906) 239-5050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Baraga County Memorial Hospital
Practice addresses (Care Compare)
18341 US Hwy 41
Lanse, MI 49946-8024
Phone (906) 524-3320
850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3747
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group, Michigan, PC | Current | Accepting new patients | |
| Baraga County Memorial Hospital | Current | Accepting new patients | |
| Baraga County Memorial Hospital | Current | Accepting new patients | |
| Baraga County Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Marquette Medical PLLC | Current | Accepting new patients | |
| Baraga County Memorial Hospital | Current | Accepting new patients | |
| Marquette Medical Mindful Wellness | Past | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Past | Accepting new patients |
Locations
18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300
1025 W Washington St
Ste A
Marquette, MI 49855
Phone (906) 239-5050
850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- L'Anse, MI
- NPI 1558479824
-
dba BCMH Physician Group
- Family Medicine Physician
- L'Anse, MI
- NPI 1851409643
-
- Emergency Medicine Physician
- L'Anse, MI
- NPI 1508960600
-
dba Baraga County Home Care & Hospice
- Home Health Agency
- L'Anse, MI
- NPI 1932218807
-
- Emergency Medicine Physician
- Marquette, MI
- NPI 1871374702
-
dba Marquette General Emergency Medicine
- Emergency Medicine Physician
- Marquette, MI
- NPI 1366790727
-
dba Mindful Wellness
- Adult Mental Health Clinic/Center
- Marquette, MI
- NPI 1316899933
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- L'Anse, MI
- NPI 1558479824
-
- Medicare Defined Swing Bed Hospital Unit
- L'Anse, MI
- NPI 1841394046
Nursing home
-
dba UP Health System Marquette
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1427678978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 W WASHINGTON ST STE A",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554031",
"telephone_number": "906-239-5050",
"fax_number": "906-239-5055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 W BARAGA AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498554550",
"telephone_number": "906-449-3000"
}
],
"practiceLocations": [
{
"address_1": "700 W Washington St Ste B",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498554164",
"country_code": "US",
"telephone_number": "906-239-3993",
"fax_number": "906-239-3223",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 W Washington St Ste A",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498554031",
"country_code": "US",
"telephone_number": "906-239-5050",
"fax_number": "906-239-5055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOUKUSA",
"first_name": "EVAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-24",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4351046811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.