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TORI NAULT
NPI 1831546860
Internal Medicine in Marquette, MI

Active since May 19, 2016PECOS EnrolledAccepts Medicare Assignment
1414 W FAIR AVE STE 334, MARQUETTE, MI 49855(906) 225-4500 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tori Nault NPPES

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

TORI NAULT (NPI 1831546860) is an individual internal medicine provider in Marquette, Michigan, licensed in Michigan (4301119086) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Uphs Marquette Dlp Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1831546860
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTORI NAULT
Location Address1414 W FAIR AVE STE 334Marquette, MI 49855-5407
Mailing Address1414 W Fair Ave Ste 334Marquette, MI 49855-5407 · (906) 225-4500
Phone(906) 225-4500
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 19, 2016
Last NPPES UpdateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1831546860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301119086
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.
1414 W FAIR AVE STE 334, Marquette, MI 49855
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Tori Nault 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 ID42505521
PECOS Enrollment IDI20191003000997
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 Reassignments

2

Medicare enrollment records show Tori Nault reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dickinson County Healthcare System
0.1 mi
Internal Medicine
1414 W FAIR AVE, STE 334
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 136 clinicians in this Medicare group
NPI 1710693346 (906) 225-4500
Regents Of The University Of Michigan
151 mi
Pediatric Rheumatology
1200 SIXTH ST, SUITE 100
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 2,377 clinicians in this Medicare group
NPI 1992081640 (231) 935-5000

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
54 services45 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services16 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
13 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Dickinson County Memorial Hospital

Acute Care Hospitals · Iron Mountain, MI
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number230055
Location1721 S Stephenson AveIron Mountain, MI 49801 · Dickinson 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
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

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

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$35.87 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 4

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

HANNAH M KIRKUM
Registered Nurse
1414 W FAIR AVE STE 334
MARQUETTE, MI 49855
Marquette County (517) 262-1765
KYLE KING PAC
Physician Assistant
1414 W FAIR AVE STE 334
MARQUETTE, MI 49855
Marquette County (906) 225-4500
MRS. KATHERINE KING
Physician Assistant
1414 W FAIR AVE STE 334
MARQUETTE, MI 49855
Marquette County (906) 225-4500
CAROLINE KELLY TUCHOWSKI PA-C
Physician Assistant
1414 W FAIR AVE STE 334
MARQUETTE, MI 49855
Marquette County (906) 225-4500

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 Tori Nault's NPI number?

The NPI number for Tori Nault is 1831546860. It was assigned to this individual provider in the NPPES registry on May 19, 2016.

Where is Tori Nault located?

Tori Nault practices at 1414 W Fair Ave Ste 334, Marquette, MI 49855. The listed phone number is (906) 225-4500.

What is Tori Nault's specialty?

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

Is Tori Nault enrolled in Medicare?

Yes. Tori Nault 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 organizations bill Medicare for Tori Nault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tori Nault reassigns Medicare benefits to 2 organizations: Dickinson County Healthcare System (Marquette, MI) and Regents Of The University Of Michigan (Traverse City, MI). Each 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 Tori Nault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tori Nault accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Tori Nault 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 Tori Nault affiliated with any hospitals?

According to CMS data, Tori Nault is affiliated with Uphs Marquette Dlp Hospital, Dickinson County Memorial Hospital and Bell Hospital.

When was this NPI record last updated?

The NPPES record for Tori Nault was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.