UPPER GREAT LAKES FAMILY HEALTH CENTER
NPI 1053948265
Clinic/Center - Federally Qualified Health Center (FQHC) in Marquette, MI
About Upper Great Lakes Family Health Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPPER GREAT LAKES FAMILY HEALTH CENTER (NPI 1053948265), doing business as Marquette Family Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Marquette, Michigan and active in the NPI registry since March 2020. The organization holds a CLIA Waiver certificate valid through May 18, 2028 and lists Trevor Hodges, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Upper Great Lakes Family Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
56Medicare enrollment records show 56 clinicians reassign Medicare billing to Upper Great Lakes Family Health Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 56Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 23D2184332
Upper Great Lakes Marquette Family Health Center · Marquette, MIFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Upper Great Lakes Family Health Center's NPI number?
The NPI number for Upper Great Lakes Family Health Center is 1053948265. It was assigned to this organization in the NPPES registry on March 26, 2020. The provider is doing business as Marquette Family Health Center.
Where is Upper Great Lakes Family Health Center located?
Upper Great Lakes Family Health Center is located at 1414 W Fair Ave Ste 249, Marquette, MI 49855. The listed phone number is (906) 449-2900.
What is Upper Great Lakes Family Health Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Upper Great Lakes Family Health Center enrolled in Medicare?
Yes. Upper Great Lakes Family Health Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upper Great Lakes Family Health Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 8 Medicare specialties reassign their Medicare billing to Upper Great Lakes Family Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (16), Family Practice (12) and Nurse Practitioner (11). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Upper Great Lakes Family Health Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 23D2184332) is associated with this NPI, valid through May 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Upper Great Lakes Family Health Center accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Upper Great Lakes Family Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Upper Great Lakes Family Health Center was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Upper Great Lakes Family Health Center · NPI 1053948265
Federally Qualified Health Center (FQHC) organization in Marquette, Michigan. Organization record, active in the CMS NPPES registry since March 26, 2020.
## Identity
- **NPI:** 1053948265 (Entity type: Organization)
- **Enumerated:** March 26, 2020
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Marquette Family Health Center (Doing Business As)
- **Organization subpart:** Yes (part of -)
- **Authorized official:** Trevor Hodges, CEO
## Practice location
- **Address:** 1414 W FAIR AVE STE 249, Marquette, MI 49855-5406
- **Phone:** (906) 449-2900 · **Fax:** (906) 372-3230
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 56 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Obstetrics/Gynecology (16), Family Practice (12), Nurse Practitioner (11); 2 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1053948265/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 13, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053948265) · Data from the CMS NPPES public registry.