LI SONG NP
NPI 1043601164
Nurse Practitioner - Primary Care in Waterford, MI
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
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Li Song Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Li Song reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester Hills, MI 48307
- Reassigned Medicare billing, Michigan enrollment
- 4 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.
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.
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
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.
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.
Which organization bills Medicare for Li Song's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Li Song reassigns Medicare benefits to Mazher Hussain MD, PC (Rochester Hills, 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 Li Song's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Li Song, NP · NPI 1043601164
Primary Care physician in Waterford, Michigan. Individual provider, active in the CMS NPPES registry since February 11, 2015.
## Identity
- **NPI:** 1043601164 (Entity type: Individual)
- **Enumerated:** February 11, 2015
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704261932 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4206 PONTIAC LAKE RD, Waterford, MI 48328-1261
- **Phone:** (248) 742-1638 · **Fax:** (248) 742-1654
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mazher Hussain MD, PC (NPI 1255581682, Rochester Hills, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1043601164) · Data from the CMS NPPES public registry.