Individual provider Active NPI

Justin S. Kleinschmidt, FNP

  • Family Nurse Practitioner
  • Marquette, MI
National Provider Identifier
1467063966
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704264634 Issued in MI
Practice address
1414 W Fair Ave Ste 190
Marquette, MI 49855-5406
Phone
(906) 225-1321
Fax
(906) 228-9371
NPI assigned
Aug 10, 2020
Last updated
Aug 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704264634 MI Primary

Addresses

Primary practice location

1414 W Fair Ave Ste 190
Marquette, MI 49855-5406

Mailing address

1414 W Fair Ave Ste 190
Marquette, MI 49855-5406
Phone (906) 225-1321

Other identifiers 1

IdentifierTypeStateIssuer
4704264634OtherMIMI MEDICAL LICENSE (NURSE PRACTITIONER)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200819002178 MI Practitioner - Nurse Practitioner 8820414964 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Portage Physician Practices IncGroup PAC ID 6103053509, 56 clinicians

Practice addresses (Care Compare)

850 W Baraga Ave
Marquette, MI 49855-4550
Phone (906) 449-3404

921 W Sharon Ave
Houghton, MI 49931-1921
Phone (906) 483-1777

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Oct 1, 2025 Accepting new patients
Portage Physician Practices Inc CurrentSince Nov 3, 2024 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Oct 1, 2025 Accepting new patients
Portage Physician Practices Inc CurrentSince Nov 3, 2024 Accepting new patients
DLP Marquette Physician Practices Inc Current Accepting new patients
Superior Walk-in Center, PC Current Accepting new patients
Superior Walk-in Center, PC CurrentSince Jan 10, 2022 Accepting new patients
Superior Walk-in Center, PC CurrentSince Jan 10, 2022 Accepting new patients

Locations

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

921 W Sharon Ave
Houghton, MI 49931
Phone (906) 483-1777

1414 W Fair Ave
Ste 190
Marquette, MI 49855
Phone (906) 225-1321

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

2382 US Highway 41 W
Marquette, MI 49855
Phone (906) 226-2233

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

850 W Baraga Ave
Marquette, MI 49855
Phone (906) 225-3595

850 W Baraga Ave
Ste 20
Marquette, MI 49855
Phone (906) 449-3440

1504 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4220

Interoperability endpoints

  • Direct secure messaging: justin.kleinschmidt.2@8233.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1467063966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 190",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555406",
            "telephone_number": "906-225-1321",
            "fax_number": "906-228-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 190",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555406",
            "telephone_number": "906-225-1321",
            "fax_number": "906-228-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINSCHMIDT",
        "first_name": "JUSTIN",
        "middle_name": "S.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-10",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704264634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI MEDICAL LICENSE (NURSE PRACTITIONER)",
            "identifier": "4704264634",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.