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

ELGENA LEE FNP-C
NPI 1356031108
Nurse Practitioner in Pontiac, MI

Active since May 15, 2023PECOS EnrolledAccepts Medicare Assignment
50 N PERRY ST, PONTIAC, MI 48342(248) 338-5332 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Elgena Lee Fnp-c NPPES

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

ELGENA LEE FNP-C (NPI 1356031108) is an individual nurse practitioner in Pontiac, Michigan, licensed in Michigan (F05230035) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Mclaren Oakland, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356031108
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameELGENA LEECredential: FNP-C
Location Address50 N PERRY STPontiac, MI 48342-2217
Mailing Address69401 Eldred RdBruce Twp, MI 48065-4221 · (586) 994-0491
Phone(248) 338-5332
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 15, 2023
NPPES CertifiedMay 13, 2023
✔ NPI 1356031108 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 · F05230035
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.
50 N PERRY ST, Pontiac, MI 48342
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

Elgena Lee Fnp-c 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 ID3678933249
PECOS Enrollment IDI20230713002939
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

3

Medicare enrollment records show Elgena Lee reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mclaren Oakland
Same address
General Practice
50 N PERRY ST
Pontiac, MI 48342
  • Reassigned Medicare billing, Michigan enrollment
  • 76 clinicians in this Medicare group
NPI 1790055143 (248) 338-5000
Mclaren Hospital Group
34 mi
Emergency Medicine
401 S BALLENGER HWY
Flint, MI 48532
  • Reassigned Medicare billing, Michigan enrollment
  • 444 clinicians in this Medicare group
NPI 1942026174 (810) 342-3450
Acute Care Surgery Medical Group, Inc.
2,010 mi
Surgery
2801 K STREET SUITE 440
Sacramento, CA 95816
  • Reassigned Medicare billing, Michigan enrollment
  • 42 clinicians in this Medicare group
NPI 1700069549 (916) 441-0400

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 2

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
67 services59 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48342 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 20

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

THAMILARASI SUBRAMANIAN
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. CORY ERIC MANOOGIAN DO
Psychiatry & Neurology (Psychiatry)
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 384-8130
DR. ESSA HANNA HATTAR MD
Family Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5392
IMPACT ACO BILLING COMPANY LLC
Internal Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5516
ANDREW CHARLES ABIRAGI
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5300
MARTIN ANTONIO RIVERA
Student in an Organized Health Care Education/Training Program
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
SHALIN R LASHKARI MSPT
Physical Therapist
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000
DR. MICHAEL CHRISTOPHER DETTLOFF D.O.
Emergency Medicine
50 N PERRY ST
PONTIAC, MI 48342
Oakland County (248) 338-5000

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 Elgena Lee's NPI number?

The NPI number for Elgena Lee is 1356031108. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Elgena Lee located?

Elgena Lee practices at 50 N Perry St, Pontiac, MI 48342. The listed phone number is (248) 338-5332.

What is Elgena Lee's specialty?

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

Is Elgena Lee enrolled in Medicare?

Yes. Elgena Lee 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 Elgena Lee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elgena Lee reassigns Medicare benefits to 3 organizations: Mclaren Oakland (Pontiac, MI), Mclaren Hospital Group (Flint, MI) and Acute Care Surgery Medical Group, Inc. (Sacramento, CA). 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 Elgena Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elgena Lee accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Elgena Lee 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 Elgena Lee affiliated with any hospitals?

According to CMS data, Elgena Lee is affiliated with Mclaren Oakland.

When was this NPI record last updated?

The NPPES record for Elgena Lee was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.