LI SONG NP
NPI 1043601164
Nurse Practitioner - Primary Care in Waterford, MI

Active since February 11, 2015PECOS Enrolled
4206 PONTIAC LAKE RD, WATERFORD, MI 48328(248) 742-1638(248) 742-1654 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Li Song Np NPPES

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

LI SONG NP (NPI 1043601164) is an individual primary care provider in Waterford, Michigan, licensed in Michigan (4704261932) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043601164
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLI SONGCredential: NP
Location Address4206 PONTIAC LAKE RDWaterford, MI 48328-1261
Mailing Address4206 Pontiac Lake RdWaterford, MI 48328-1261 · (248) 742-1638 · Fax (248) 742-1654
Fax(248) 742-1654
Sole ProprietorYes
Enumeration DateFebruary 11, 2015
Last NPPES UpdateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
NPI 1043601164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in MI · 4704261932
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 4704261932 (MI)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 4704261932 (MI)
4206 PONTIAC LAKE RD, Waterford, MI 48328

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Li Song Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48328 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%2,095 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
34%252 patients2/55-star benchmark: 88%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
34%38 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
28%36 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%38 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%38 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Pain Medicine (Pain Medicine)
4206 PONTIAC LAKE RD
WATERFORD, MI 48328
Nurse Practitioner
4206 PONTIAC LAKE RD
WATERFORD, MI 48328
Physical Therapist
4206 PONTIAC LAKE RD
WATERFORD, MI 48328
Physical Therapist
4206 PONTIAC LAKE RD
WATERFORD, MI 48328
Physical Therapist
4206 PONTIAC LAKE RD
WATERFORD, MI 48328

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 Li Song's NPI number?

The NPI number for Li Song is 1043601164. It was assigned to this individual provider in the NPPES registry on February 11, 2015.

Where is Li Song located?

Li Song practices at 4206 Pontiac Lake Rd, Waterford, MI 48328. The listed phone number is (248) 742-1638.

What is Li Song's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Li Song enrolled in Medicare?

Yes. Li Song is registered in the Medicare PECOS enrollment system.

What insurance does Li Song accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Li Song 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 Li Song was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.