| Homeward Physicians , PLLC | |
|
1414 W Fair Ave Ste 242 Marquette MI 49855-5406 | |
| (612) 644-4207 | |
| (833) 626-1945 |
| Full Name | Homeward Physicians , PLLC |
|---|---|
| Speciality | General Practice |
| Location | 1414 W Fair Ave Ste 242, Marquette, Michigan |
| Authorized Official Name and Position | Elise Depew (SENIOR DIRECTOR, REVENUE CYCLE MANA) |
| Authorized Official Contact | 6126444207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Homeward Physicians , PLLC 1414 W Fair Ave Ste 242 Marquette MI 49855-5406 Ph: (612) 644-4207 | Homeward Physicians , PLLC 1414 W Fair Ave Ste 242 Marquette MI 49855-5406 Ph: (612) 644-4207 |
| NPI Number | 1538828314 |
|---|---|
| Provider Enumeration Date | 12/09/2021 |
| Last Update Date | 11/18/2025 |
| Certification Date | 11/18/2025 |
| Medicare PECOS PAC ID | 8921488586 |
|---|---|
| Medicare Enrollment ID | O20220629002254 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538828314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (NU) | Primary |
| Provider Name | Jennie Estelle Szatkowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912002858 PECOS PAC ID: 7012950397 Enrollment ID: I20110321000608 |
| Provider Name | Donna Westmoreland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124433313 PECOS PAC ID: 9931361862 Enrollment ID: I20140703002174 |
| Provider Name | Katelyn Barton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093228900 PECOS PAC ID: 3274890124 Enrollment ID: I20171130001316 |
| Provider Name | Sabrina Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699276295 PECOS PAC ID: 6507111523 Enrollment ID: I20180615000955 |
| Provider Name | Samantha Lynn Wetoskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154803468 PECOS PAC ID: 5294071163 Enrollment ID: I20190114002433 |
| Provider Name | Chauntelle Leigh Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295378909 PECOS PAC ID: 1951736826 Enrollment ID: I20200123000359 |
| Provider Name | Julie Maria Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548801723 PECOS PAC ID: 6305273129 Enrollment ID: I20200217002323 |
| Provider Name | Kari Lynn Mcfadden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437776010 PECOS PAC ID: 3072938224 Enrollment ID: I20200804003501 |
| Provider Name | Leslie Miles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831793488 PECOS PAC ID: 9032520556 Enrollment ID: I20201204000306 |
| Provider Name | Amanda M Draper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215598339 PECOS PAC ID: 7911307707 Enrollment ID: I20210616000951 |
| Provider Name | Kacie Humiecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417616822 PECOS PAC ID: 0345631677 Enrollment ID: I20211222000137 |
| Provider Name | Michelle Marie Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518583202 PECOS PAC ID: 6709204449 Enrollment ID: I20220104002539 |
| Provider Name | Jeffrey Anderson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326371212 PECOS PAC ID: 1759696842 Enrollment ID: I20220917000565 |
| Provider Name | Kristina Niccole Garavaglia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639628670 PECOS PAC ID: 7315286929 Enrollment ID: I20221018002914 |
| Provider Name | Danielle Miller Tabula |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780081950 PECOS PAC ID: 8426331315 Enrollment ID: I20221202001002 |
| Provider Name | Amanda Tegge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790540292 PECOS PAC ID: 3779925680 Enrollment ID: I20240523002166 |
| Provider Name | Rylee Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902661572 PECOS PAC ID: 7719324730 Enrollment ID: I20250331002722 |
| Provider Name | Melissa Bolles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699234609 PECOS PAC ID: 5597095844 Enrollment ID: I20250404000728 |
| Provider Name | Marlee Hurtt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578250791 PECOS PAC ID: 6709235930 Enrollment ID: I20250417000347 |
| Provider Name | Michele Garcia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669455242 PECOS PAC ID: 0749233955 Enrollment ID: I20250417000980 |
| Provider Name | Heather Tusi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881200194 PECOS PAC ID: 6305255852 Enrollment ID: I20250505003049 |
| Provider Name | Kelly Renee Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053900696 PECOS PAC ID: 4183148265 Enrollment ID: I20251105001031 |
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