NPIMap

Organization Active NPI

Homeward Physicians , PLLC

  • General Practice Physician
  • Marquette, MI
National Provider Identifier
1538828314
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HOMEWARD PHYSICIANS , PLLC
Practice address
1414 W Fair Ave Ste 242
Marquette, MI 49855-5406
Phone
(612) 644-4207
Fax
(833) 626-1945
NPI assigned
Dec 9, 2021
Last updated
Nov 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Authorized official

Name
Elise Depew
Title
Senior Director, Revenue Cycle Mana
Phone
(612) 644-4207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

1414 W Fair Ave Ste 242
Marquette, MI 49855-5406

Mailing address

1414 W Fair Ave Ste 242
Marquette, MI 49855-5406
Phone (612) 644-4207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MN, NH3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220629002254 MI Part B Supplier - Clinic/Group Practice 8921488586 Receives reassigned benefits from 22 practitioners
Practice locations: Marquette, MI
O20231011001602 MN Part B Supplier - Clinic/Group Practice 8921488586 Receives reassigned benefits from 6 practitioners
Practice locations: Minneapolis, MN
O20231117000409 NH Part B Supplier - Clinic/Group Practice 8921488586 Receives reassigned benefits from 1 practitioner
Practice locations: Concord, NH

National Provider Directory

National Provider Directory

Locations

2 S Park St
San Francisco, CA 94107

2627 E Beltline Ave SE
Ste 220
Grand Rapids, MI 49546
Phone (616) 250-5198

825 Nicollet Mall
Ste 556
Minneapolis, MN 55402
Phone (612) 513-3433

10 Ferry St
Ste 301A
Concord, NH 03301

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26566/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763424000000",
    "number": "1538828314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 242",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555406",
            "telephone_number": "612-644-4207",
            "fax_number": "616-236-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 242",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555406",
            "telephone_number": "612-644-4207",
            "fax_number": "833-626-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEWARD PHYSICIANS , PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A",
        "authorized_official_last_name": "DEPEW",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "SENIOR DIRECTOR, REVENUE CYCLE MANA",
        "authorized_official_telephone_number": "612-644-4207"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "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 Nov 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.