LUKE M TOLNAI PMHNP
NPI 1285485342
Nurse Practitioner in Mount Clemens, MI

Q: What is Luke Tolnai's NPI number?

The NPI number for Luke Tolnai is 1285485342. It was assigned to this individual provider in the NPPES registry on March 28, 2024.

Q: What is Luke Tolnai's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Luke Tolnai was last updated on March 28, 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.

Active since March 28, 2024PECOS EnrolledAccepts Medicare Assignment

100 NB GRATIOT AVE, MOUNT CLEMENS, MI 48043(586) 783-2950(586) 690-4333 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Luke M Tolnai Pmhnp NPPES

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

LUKE M TOLNAI PMHNP (NPI 1285485342) is an individual nurse practitioner in Mount Clemens, Michigan, licensed in Michigan (4704303935) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS, is affiliated with Mclaren Macomb, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1285485342

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameLUKE M TOLNAICredential: PMHNP

Location Address100 NB GRATIOT AVEMount Clemens, MI 48043-2304

Mailing Address100 Nb Gratiot AveMount Clemens, MI 48043-2304 · (586) 783-2950 · Fax (586) 690-4333

Phone(586) 783-2950

Fax(586) 690-4333

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateMarch 28, 2024

NPPES CertifiedMarch 28, 2024

✔ NPI 1285485342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704303935

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

100 NB GRATIOT AVE, Mount Clemens, MI 48043

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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luke M Tolnai Pmhnp 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 ID5890133854

PECOS Enrollment IDI20240410000250

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.

Areas of Expertise CMS Part B claims

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.

69 services24 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230227

Location1000 Harrington StMount Clemens, MI 48043 · Macomb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 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.

Other Providers at the Same Location NPPES 18

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

RENEWAL CHRISTIAN COUNSELING INC

Clinic/Center (Mental Health (Including Community Mental Health Center))