1. Home
  2. Directory
  3. Michigan
  4. Mount Clemens
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 25, 2026.

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Luke Tolnai reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Renewal Christian Counseling Inc
Same address
Mental Health (Including Community Mental Health Center)
100 NB GRATIOT AVE
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 24 clinicians in this Medicare group
NPI 1548211535 (586) 783-2950
County Of Macomb
1.7 mi
Mental Health (Including Community Mental Health Center)
43740 N GROESBECK HWY
Clinton Twp, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 120 clinicians in this Medicare group
NPI 1942532197 (586) 469-7929

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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))
100 NB GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950
NADIA DI BERARDO LLMSW INTERN
Social Worker (Clinical)
100 NB GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950
EVAN KNILL LLPC
Counselor (Mental Health)
100 NB GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950
JACQUELINE GRAY LMSW
Social Worker (Clinical)
100 NB GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950
BELINDA GOLDER LLPC
Counselor (Professional)
100 NB GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950
NECOLE N JAMISON LMSW
Social Worker (Clinical)
100 NB GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950
MS. ALANA M BRAYBOY LPC
Counselor (Mental Health)
100 NB GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950
LAURA J MARTIN LPC
Counselor (Mental Health)
100 NB GRATIOT AVE
MOUNT CLEMENS, MI 48043
Macomb County (586) 783-2950

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 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.

Where is Luke Tolnai located?

Luke Tolnai practices at 100 Nb Gratiot Ave, Mount Clemens, MI 48043. The listed phone number is (586) 783-2950.

What is Luke Tolnai's specialty?

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

Is Luke Tolnai enrolled in Medicare?

Yes. Luke Tolnai 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 Luke Tolnai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luke Tolnai reassigns Medicare benefits to 2 organizations: Renewal Christian Counseling Inc (Mount Clemens, MI) and County Of Macomb (Clinton Twp, MI). 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 Luke Tolnai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luke Tolnai accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Oscar Insurance Company and UnitedHealthcare list Luke Tolnai 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.

Is Luke Tolnai affiliated with any hospitals?

According to CMS data, Luke Tolnai is affiliated with Mclaren Macomb.

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.