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UP MEDICAL GROUP - PORTAGE EXPRESS CARE
NPI 1376229419
Clinic/Center - Rural Health in Houghton, MI

Active since June 23, 2023CLIA 23D2077798 · Waiver
921 W SHARON AVE, HOUGHTON, MI 49931(906) 483-1777(906) 483-4616 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Up Medical Group - Portage Express Care NPPES

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

UP MEDICAL GROUP - PORTAGE EXPRESS CARE (NPI 1376229419) is a healthcare organization registered as a rural health in Houghton, Michigan and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through May 14, 2028 and lists Monica Bowman, President, as its authorized official.

NPPES Registry Identity

NPI1376229419
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePORTAGE PHYSICIAN PRACTICES INC
Location Address921 W SHARON AVEHoughton, MI 49931-1921
Mailing Address330 Seven Springs WayBrentwood, TN 37027-5098 · (615) 920-7000 · Fax (615) 920-8775
Phone(906) 483-1777
Fax(906) 483-4616
Organization SubpartNo
Authorized OfficialMonica BowmanPresident · (615) 920-7208
Enumeration DateJune 23, 2023
NPPES CertifiedJune 23, 2023
✔ NPI 1376229419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
921 W SHARON AVE, Houghton, MI 49931
Open in Google Maps ↗

Other Names 1

Doing Business AsUp Medical Group - Portage Express Care

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Up Medical Group - Portage Express Care 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 Up Medical Group - Portage Express Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 31 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
Heather Smith, FNP
Nurse Practitioner
NPI 1114567385
921 W SHARON AVE
Houghton, MI 49931
(906) 483-1777
✔ PECOSSame address
Audrey Liston, DO
Family Practice
NPI 1346354461
787 MARKET ST STE 9
Hancock, MI 49930
(906) 482-7762
✔ PECOS✔ Accepts Medicare1.2 mi
Michael Salmi, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1043360431
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1000
✔ Accepts Medicare1.9 mi
Allison Helman, DO
Family Practice
NPI 1093761983
600 MACINNES DR
Houghton, MI 49931
(906) 483-1860
✔ PECOS✔ Accepts Medicare1.9 mi
Bruce Anderson
Nurse Practitioner
NPI 1386049211
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1000
✔ PECOS✔ Accepts Medicare1.9 mi
Andrea Bouman, MD
Emergency Medicine
NPI 1447612577
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1000
✔ PECOS✔ Accepts Medicare1.9 mi
Jonathan Brueggeman, DPM
Podiatry
NPI 1790836401
500 CAMPUS DRIVE SUITE 2
Hancock, MI 49930
(906) 483-1060
✔ PECOS✔ Accepts Medicare1.9 mi
Jessica Caulkins, FNP-C
Nurse Practitioner
NPI 1316768427
500 CAMPUS DR STE 4
Hancock, MI 49930
(906) 483-1730
✔ PECOS✔ Accepts Medicare1.9 mi
Brooke Esteves, D.O.
Hematology/Oncology
NPI 1265726970
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1000
✔ PECOS✔ Accepts Medicare1.9 mi
Emily Johnson, MD
Emergency Medicine
NPI 1205256286
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1000
✔ PECOS✔ Accepts Medicare1.9 mi
Kirk Klemme, MD
Anesthesiology
NPI 1609836139
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1000
✔ PECOS✔ Accepts Medicare1.9 mi
William Liston, DO
General Surgery
NPI 1265481204
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1040
✔ PECOS✔ Accepts Medicare1.9 mi
Paul Lyle, M.D.
Diagnostic Radiology
NPI 1427131093
500 CAMPUS DR
Hancock, MI 49930
(906) 360-3014
✔ PECOS✔ Accepts Medicare1.9 mi
Julie Meyer, DO
Obstetrics/Gynecology
NPI 1265476360
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1050
✔ PECOS✔ Accepts Medicare1.9 mi
Ronald Ronquist, M.D.
Orthopedic Surgery
NPI 1255340063
500 CAMPUS DR SUITE 1
Hancock, MI 49930
(906) 483-1040
✔ PECOS✔ Accepts Medicare1.9 mi
Timothy Sears, MD
General Surgery
NPI 1063450526
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1040
✔ PECOS✔ Accepts Medicare1.9 mi
Lori Vaughan, MD
Internal Medicine
NPI 1164546289
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1000
✔ PECOS✔ Accepts Medicare1.9 mi
Ronald Voice, MD
Cardiovascular Disease (Cardiology)
NPI 1174521975
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1000
✔ PECOS✔ Accepts Medicare1.9 mi
Zachary French, MD
Orthopedic Surgery
NPI 1952930968
500 CAMPUS DR
Hancock, MI 49930
(906) 483-1000
✔ PECOS2.0 mi
Terry Kinzel, MD
Internal Medicine
NPI 1023048477
500 CAMPUS DRIVE
Hancock, MI 49930
(906) 483-1300
✔ PECOS✔ Accepts Medicare2.0 mi
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.

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 23D2077798

Portage Physician Practices, Inc Dba Up Medical Group- Portage Express Care · Houghton, MI
Active · expires May 14, 2028
CLIA Number23D2077798
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 15, 2026
Certificate Expiration DateMay 14, 2028
Laboratory DirectorPetio V. Kotov
Laboratory Phone(906) 483-1435
Laboratory LocationPortage Physician Practices, Inc Dba Up Medical Group- Portage Express Care921 W Sharon Avenue, Houghton, MI 49931
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 1376229419. It was assigned to this organization in the NPPES registry on June 23, 2023. The provider is doing business as Up Medical Group - Portage Express Care.

Where is Portage Physician Practices Inc located?

Portage Physician Practices Inc is located at 921 W Sharon Ave, Houghton, MI 49931. The listed phone number is (906) 483-1777.

What is Portage Physician Practices Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

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, 1 practice at this address and 31 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Portage Physician Practices Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D2077798) is associated with this NPI, valid through May 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Portage Physician Practices Inc was last updated on June 23, 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.