MICHAEL F DUCKWALL FNP
NPI 1568870004
Nurse Practitioner - Family in Marquette, MI

Active since July 29, 2014PECOS EnrolledAccepts Medicare Assignment
1414 W FAIR AVE STE 344, MARQUETTE, MI 49855(906) 449-1300(906) 451-5801 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael F Duckwall Fnp NPPES

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

MICHAEL F DUCKWALL FNP (NPI 1568870004) is an individual family provider in Marquette, Michigan, licensed in Michigan (4704313103) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1568870004
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMICHAEL F DUCKWALLCredential: FNP
Location Address1414 W FAIR AVE STE 344Marquette, MI 49855-5407
Mailing Address1414 W Fair Ave Ste 344Marquette, MI 49855-5407 · (906) 449-1300 · Fax (906) 451-5801
Fax(906) 451-5801
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 29, 2014
Last NPPES UpdateOctober 17, 2025
NPPES CertifiedOctober 17, 2025
✔ NPI 1568870004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704313103
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704313103 (MI)
1414 W FAIR AVE STE 344, Marquette, MI 49855

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael F Duckwall Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193945046
PECOS Enrollment IDI20151016000979
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Duckwall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1414 W FAIR AVE, STE 334
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 440 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
55 services21 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
16 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uphs Marquette Dlp Hospital

Acute Care Hospitals · Marquette, MI
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230054
Location850 W Baraga AveMarquette, MI 49855 · Marquette County
Emergency services Birthing friendly

Bell Hospital

Critical Access Hospitals · Ishpeming, MI
OwnershipProprietary
CMS Certification Number231321
Location901 Lakeshore DriveIshpeming, MI 49849 · Marquette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier11 claims11 services$294.85 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers32 claims32 services$180.82 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Nephrology)
1414 W FAIR AVE STE 344
MARQUETTE, MI 49855

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 Michael Duckwall's NPI number?

The NPI number for Michael Duckwall is 1568870004. It was assigned to this individual provider in the NPPES registry on July 29, 2014.

Where is Michael Duckwall located?

Michael Duckwall practices at 1414 W Fair Ave Ste 344, Marquette, MI 49855. The listed phone number is (906) 449-1300.

What is Michael Duckwall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Duckwall enrolled in Medicare?

Yes. Michael Duckwall is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Michael Duckwall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Duckwall reassigns Medicare benefits to Dlp Marquette Physician Practices Inc (Marquette, MI). The 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 Michael Duckwall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Duckwall accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and CareSource (Common Ground Healthcare) list Michael Duckwall 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.

Is Michael Duckwall affiliated with any hospitals?

According to CMS data, Michael Duckwall is affiliated with Uphs Marquette Dlp Hospital and Bell Hospital.

When was this NPI record last updated?

The NPPES record for Michael Duckwall was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.