Individual provider Active NPI

Katelyn Tourville, PA-C

  • Physician Assistant
  • Marquette, MI
National Provider Identifier
1730734831
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009457 Issued in MI
Practice address
1001 M 28 E Ste 10
Marquette, MI 49855-9322
Phone
(906) 273-2433
NPI assigned
Aug 6, 2019
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 5601009457 MI Primary

Addresses

Primary practice location

1001 M 28 E Ste 10
Marquette, MI 49855-9322

Mailing address

1001 M 28 E Ste 10
Marquette, MI 49855-9322
Phone (906) 273-2433

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
I20190904001855 MI Practitioner - Physician Assistant 3971832700 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Access Family Medicine PLLCGroup PAC ID 7113321027, 3 clinicians

Practice addresses (Care Compare)

1001 M 28 E
10 Harvey Clinic
Marquette, MI 49855-9322
Phone (906) 373-9496

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

18341 US Hwy 41
Lanse, MI 49946-8024
Phone (906) 225-1321

580 W College Ave
Marquette, MI 49855-2736
Phone (906) 228-9440

901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone (906) 225-1321

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates of Marquette PC Single Specialty CurrentSince Aug 19, 2019 Accepting new patients
Access Family Medicine PLLC Single Specialty CurrentSince Jan 7, 2026 Accepting new patients

Locations

1001 M 28 E
Ste 10
Marquette, MI 49855
Phone (906) 373-9496

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

Organizations & group practices 2

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": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1730734831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 M 28 E STE 10",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559322",
            "telephone_number": "906-273-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 M 28 E STE 10",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559322",
            "telephone_number": "906-273-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURVILLE",
        "first_name": "KATELYN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.