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

Q: 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.

Q: 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.

Active since July 14, 2016PECOS EnrolledAccepts Medicare Assignment

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: October 25, 2026.

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

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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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Lum Emelda Tchi-atabong 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 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.

Medicare Billing Reassignments

Medicare enrollment records show Lum Emelda Tchi-atabong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry Of Texas PLLC

1,087 mi

Psychiatry

7877 WILLOW CHASE BLVD
Houston, TX 77070

Reassigned Medicare billing, Texas enrollment
480 clinicians in this Medicare group

NPI 1013476027 (832) 869-4818

Psychplus Medical Associates, PLLC

1,087 mi

Family Medicine

7877 WILLOW CHASE BLVD
Houston, TX 77070

Reassigned Medicare billing, Texas enrollment
435 clinicians in this Medicare group

NPI 1558118026 (832) 869-4818

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 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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Lum Emelda Tchi-atabong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lum Emelda Tchi-atabong reassigns Medicare benefits to 2 organizations: Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). 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 Lum Emelda Tchi-atabong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lum Emelda Tchi-atabong accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Lum Emelda Tchi-atabong 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 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 7 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.