Katelyn Tourville, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601009457 Issued in MI

Practice address

1401 Presque Isle Ave-Health Center
Marquette, MI 49855

Phone

(906) 227-2355

NPI assigned

Aug 6, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

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

Orthopaedic Surgery Associates of Marquette PCGroup PAC ID 5799702437, 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uphs Marquette DLP Hospital Hospital, Marquette, MI, CCN 230054
• Bell Hospital Hospital, Ishpeming, MI, CCN 231321

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access Family Medicine PLLC

  • Family Medicine Physician
  • Marquette, MI
  • NPI 1972170207

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Orthopaedic Surgery Associates of Marquette PC

  • Orthopaedic Surgery Physician
  • Marquette, MI
  • NPI 1730199845
  Medicare reassignment Care Compare group
• Orthopaedic Surgery Associates of Marquette PC

  • Durable Medical Equipment & Medical Supplies
  • Marquette, MI
  • NPI 1518466143
  NPD

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

• Acquisition Bell Hospital LLC

  • Critical Access Hospital
  • Ishpeming, MI
  • NPI 1699101345
  Care Compare affiliation
• DLP Marquette General Hospital LLC

  • General Acute Care Hospital
  • Marquette, MI
  • NPI 1568727048
  Care Compare affiliation

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

{
    "created_epoch": "1565049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1730734831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 MEESKE AVE",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553219",
            "telephone_number": "906-869-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 PRESQUE ISLE AVE-HEALTH CENTER",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "49855",
            "telephone_number": "906-227-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOURVILLE",
        "first_name": "KATELYN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-06",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN PHYSICIAN ASSISTANT LICENSE",
            "identifier": "5601009457",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Toomey, AGNP
• Jill Toorongian, DPT
• Riley J Torreano, MD
• Rebecca J Tosa
• Toss Optometry Inc
• Jeanette Tousignant
• Chelsea Monique Travis, MD
• Deborah Ann Traynor, CRNA
• Nichol Marie Trejo, FNP-BC
• Trillium House, Inc.

• Physician Assistant in Marquette, MI
• Providers in Marquette, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; 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.

Verify at the official NPI Registry.