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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ELIAS LU DTCM, AP, APRN
NPI 1417956848
Nurse Practitioner - Family in North Port, FL

Active since July 18, 2005PECOS Enrolled
5920 PAN AMERICAN BLVD STE 203, NORTH PORT, FL 34287(941) 525-9000 Get Directions Write a Review

NPPES record last updated: September 5, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2026, Aug 9, 2026, Nov 13, 2025 and 3 more (6 updates tracked since 2018).

About Dr. Elias Lu Dtcm, Ap, Aprn NPPES

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

DR. ELIAS LU DTCM, AP, APRN (NPI 1417956848) is an individual family provider in North Port, Florida, licensed in Florida (APRN11011629) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in St Petersburg.

NPPES Registry Identity

NPI1417956848
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. ELIAS LUCredential: DTCM, AP, APRN
Location Address5920 PAN AMERICAN BLVD STE 203North Port, FL 34287-3412
Mailing Address5753 Highway 85 N Ste 6387Crestview, FL 32536-9365
Phone(941) 525-9000
Sole ProprietorYes
Enumeration DateJuly 18, 2005
Last NPPES UpdateSeptember 5, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2026
✔ NPI 1417956848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11011629
Also ListedAcupuncturistTaxonomy 171100000X · License AP4251 (FL)
5920 PAN AMERICAN BLVD STE 203, North Port, FL 34287
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Secondary Practice Location 1

Location 1111 2nd Ave NE Ste 520St Petersburg, FL 33701-3463 · Phone (727) 252-6060

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elias Lu Dtcm, Ap, Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Elias Lu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Desert Senita Community Health Center
1,796 mi
Federally Qualified Health Center (FQHC)
1435 N ARIZONA BLVD
Coolidge, AZ 85128
  • Reassigned Medicare billing, Arizona enrollment
  • 20 clinicians in this Medicare group
NPI 1386419927 (520) 387-5651

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 34287 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 Elias Lu's NPI number?

The NPI number for Elias Lu is 1417956848. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Elias Lu located?

Elias Lu practices at 5920 Pan American Blvd Ste 203, North Port, FL 34287. The listed phone number is (941) 525-9000.

What is Elias Lu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elias Lu enrolled in Medicare?

Yes. Elias Lu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Elias Lu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elias Lu reassigns Medicare benefits to Desert Senita Community Health Center (Coolidge, AZ). The 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 Elias Lu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elias Lu accept?

Health plans from Ambetter from Arizona Complete Health and UnitedHealthcare list Elias Lu 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 Elias Lu was last updated on September 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.