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LUM EMELDA TCHI-ATABONG
NPI 1104279173
Nurse Practitioner - Psychiatric/Mental Health in Taylor, MI

Active since July 14, 2016PECOS Enrolled
12239 PINE ST, TAYLOR, MI 48180(313) 917-8304 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 10, 2026, Jul 14, 2016 (2 updates tracked since 2016).

About Lum Emelda Tchi-atabong NPPES

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

LUM EMELDA TCHI-ATABONG (NPI 1104279173) is an individual psychiatric/mental health provider in Taylor, Michigan, licensed in Texas (1035133) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1104279173
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLUM EMELDA TCHI-ATABONG
Location Address12239 PINE STTaylor, MI 48180-4012
Mailing Address12239 Pine StTaylor, MI 48180-4012 · (313) 917-8304
Phone(313) 917-8304
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 14, 2016
Last NPPES UpdateMarch 10, 20262 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1104279173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1035133
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704322603 (MI)
12239 PINE ST, Taylor, MI 48180
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lum Emelda Tchi-atabong is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385128404
PECOS Enrollment IDI20260317003348
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 48180 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.

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 Lum Emelda Tchi-atabong's NPI number?

The NPI number for Lum Emelda Tchi-atabong is 1104279173. It was assigned to this individual provider in the NPPES registry on July 14, 2016.

Where is Lum Emelda Tchi-atabong located?

Lum Emelda Tchi-atabong practices at 12239 Pine St, Taylor, MI 48180. The listed phone number is (313) 917-8304.

What is Lum Emelda Tchi-atabong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lum Emelda Tchi-atabong enrolled in Medicare?

Yes. Lum Emelda Tchi-atabong is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lum Emelda Tchi-atabong was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.