NPIMap

Organization Active NPI

Marquette Medical PLLC

  • Emergency Medicine Physician
  • Marquette, MI
National Provider Identifier
1871374702
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MARQUETTE MEDICAL PLLC
Practice address
1025 W Washington St Ste a
Marquette, MI 49855-4031
Phone
(906) 239-5050
NPI assigned
Oct 6, 2023
Last updated
Sep 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Authorized official

Name
Janel L Stacey
Title
Practice Manager
Phone
(906) 235-9571

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

1025 W Washington St Ste a
Marquette, MI 49855-4031

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240202001560 MI Part B Supplier - Clinic/Group Practice 7416300793 Receives reassigned benefits from 16 practitioners
Practice locations: Marquette, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2293739Marquette Medical Urgent Care1025 W Washington Street Suite a, Marquette, MI 49855Certificate of waiverNov 13, 2027

National Provider Directory

National Provider Directory

Locations

1025 W Washington St
Marquette, MI 49855
Phone (906) 262-0071

1025 W Washington St
Ste A
Marquette, MI 49855
Phone (906) 239-5050

2833 US Highway 41 W
Marquette, MI 49855

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1871374702",
    "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": "1025 W WASHINGTON ST STE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554031",
            "telephone_number": "906-239-5050"
        }
    ],
    "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"
        }
    ],
    "basic": {
        "organization_name": "MARQUETTE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "STACEY",
        "authorized_official_first_name": "JANEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "906-235-9571"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.