PORTAGE PHYSICIAN PRACTICES INC
NPI 1225461684
Internal Medicine in Hancock, MI

Q: What is Portage Physician Practices Inc's NPI number?

The NPI number for Portage Physician Practices Inc is 1225461684. It was assigned to this organization in the NPPES registry on August 20, 2013.

Q: What is Portage Physician Practices Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since August 20, 2013

500 CAMPUS DR, STE. 5, HANCOCK, MI 49930(906) 483-1700(906) 483-1270 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Portage Physician Practices Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORTAGE PHYSICIAN PRACTICES INC (NPI 1225461684) is a healthcare organization registered as an internal medicine in Hancock, Michigan and active in the NPI registry since August 2013. The organization lists Monica Bowman, President, as its authorized official.

NPPES Registry Identity

NPI1225461684

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePORTAGE PHYSICIAN PRACTICES INC

Location Address500 CAMPUS DR, STE. 5Hancock, MI 49930-1569

Mailing Address500 Campus Dr, Ste. 5Hancock, MI 49930-1569 · (906) 483-1700 · Fax (906) 483-1270

Phone(906) 483-1700

Fax(906) 483-1270

Organization SubpartNo

Authorized OfficialMonica BowmanPresident · (615) 920-7000

Enumeration DateAugust 20, 2013

Last NPPES UpdateFebruary 7, 2023

NPPES CertifiedFebruary 7, 2023

✔ NPI 1225461684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedDietitian, RegisteredTaxonomy 133V00000X

Also ListedAnesthesiologyTaxonomy 207L00000X

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedHospitalistTaxonomy 208M00000X

Also ListedPodiatristTaxonomy 213E00000X

Also ListedAudiologistTaxonomy 231H00000X

500 CAMPUS DR, Hancock, MI 49930

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Portage Physician Practices Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

129

Medicare enrollment records show 129 clinicians reassign Medicare billing to Portage Physician Practices Inc, which bills Medicare for the services they deliver. Of these, 26 practice at this address and 32 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 23

Emergency Medicine33

Orthopedic Surgery22

Nurse Practitioner19

Internal Medicine10

Family Practice7

Diagnostic Radiology5

Anesthesiology4

General Surgery4

15 other specialties25

Nearest to this location (20)

See all 129

Bruce Anderson

Nurse Practitioner

NPI 1386049211

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1000

✔ PECOS✔ Accepts MedicareSame address

Andrea Bouman, MD

Emergency Medicine

NPI 1447612577

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1000

✔ PECOS✔ Accepts MedicareSame address

Jonathan Brueggeman, DPM

Podiatry

NPI 1790836401

500 CAMPUS DRIVE SUITE 2
Hancock, MI 49930

(906) 483-1060

✔ PECOS✔ Accepts MedicareSame address

Jessica Caulkins, FNP-C

Nurse Practitioner

NPI 1316768427

500 CAMPUS DR STE 4
Hancock, MI 49930

(906) 483-1730

✔ PECOS✔ Accepts MedicareSame address

Toni Clisch, NP-C

Nurse Practitioner

NPI 1154019750

500 CAMPUS DR STE 4
Hancock, MI 49930

(906) 483-1730

✔ PECOS✔ Accepts MedicareSame address

Brooke Esteves, D.O.

Hematology/Oncology

NPI 1265726970

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1000

✔ PECOS✔ Accepts MedicareSame address

Emily Johnson, MD

Emergency Medicine

NPI 1205256286

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1000

✔ PECOS✔ Accepts MedicareSame address

Kirk Klemme, MD

Anesthesiology

NPI 1609836139

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1000

✔ PECOS✔ Accepts MedicareSame address

William Liston, DO

General Surgery

NPI 1265481204

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1040

✔ PECOS✔ Accepts MedicareSame address

Paul Lyle, M.D.

Diagnostic Radiology

NPI 1427131093

500 CAMPUS DR
Hancock, MI 49930

(906) 360-3014

✔ PECOS✔ Accepts MedicareSame address

Julie Meyer, DO

Obstetrics/Gynecology

NPI 1265476360

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1050

✔ PECOS✔ Accepts MedicareSame address

Dawn Nulf, MD

Emergency Medicine

NPI 1477566636

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1000

✔ PECOSSame address

Sarah Pettibone, MD

Family Practice

NPI 1497105431

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1060

✔ PECOS✔ Accepts MedicareSame address

Ronald Ronquist, M.D.

Orthopedic Surgery

NPI 1255340063

500 CAMPUS DR SUITE 1
Hancock, MI 49930

(906) 483-1040

✔ PECOS✔ Accepts MedicareSame address

Timothy Sears, MD

General Surgery

NPI 1063450526

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1040

✔ PECOS✔ Accepts MedicareSame address

Lori Vaughan, MD

Internal Medicine

NPI 1164546289

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1000

✔ PECOS✔ Accepts MedicareSame address

Ronald Voice, MD

Cardiovascular Disease (Cardiology)

NPI 1174521975

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1000

✔ PECOS✔ Accepts MedicareSame address

Keith Wright, DO

Family Practice

NPI 1508836719

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1730

✔ PECOS✔ Accepts MedicareSame address

Zachary French, MD

Orthopedic Surgery

NPI 1952930968

500 CAMPUS DR
Hancock, MI 49930

(906) 483-1000

✔ PECOSSame address

Terry Kinzel, MD

Internal Medicine

NPI 1023048477

500 CAMPUS DRIVE
Hancock, MI 49930

(906) 483-1300

✔ PECOS✔ Accepts MedicareSame address

See all 129 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Portage Physician Practices Inc's NPI number?

The NPI number for Portage Physician Practices Inc is 1225461684. It was assigned to this organization in the NPPES registry on August 20, 2013.

Where is Portage Physician Practices Inc located?

Portage Physician Practices Inc is located at 500 Campus Dr Ste. 5, Hancock, MI 49930. The listed phone number is (906) 483-1700.

What is Portage Physician Practices Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Portage Physician Practices Inc enrolled in Medicare?

Yes. Portage Physician Practices Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Portage Physician Practices Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 129 clinicians in 23 Medicare specialties reassign their Medicare billing to Portage Physician Practices Inc. 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 Emergency Medicine (33), Orthopedic Surgery (22) and Nurse Practitioner (19). Of these, 26 practice at this address and 32 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Portage Physician Practices Inc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Portage Physician Practices Inc 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 Portage Physician Practices Inc was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.