MRS. LYDIA YENOBY NGANONGO NP
NPI 1710774393
Nurse Practitioner - Family in Canton, MI

Active since April 24, 2025PECOS EnrolledAccepts Medicare Assignment
45937 WINDRIDGE LN, CANTON, MI 48188(504) 919-4486 Get Directions Write a Review

NPPES record last updated: July 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lydia Yenoby Nganongo Np NPPES

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

MRS. LYDIA YENOBY NGANONGO NP (NPI 1710774393) is an individual family provider in Canton, Michigan, licensed in Michigan (4704372556) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and maintains a secondary practice location in Pontiac.

NPPES Registry Identity

NPI1710774393
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LYDIA YENOBY NGANONGOCredential: NP
Location Address45937 WINDRIDGE LNCanton, MI 48188-6224
Mailing AddressPo Box 746723Atlanta, GA 30374-6723 · (312) 733-9730
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2024
Enumeration DateApril 24, 2025
Last NPPES UpdateJuly 31, 2025
NPPES CertifiedJuly 31, 2025
NPI 1710774393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MI · 4704372556
45937 WINDRIDGE LN, Canton, MI 48188

Secondary Practice Location 1

Location 1462 N Telegraph RdPontiac, MI 48341-1037 · Phone (248) 234-7540

Accepted 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

Mrs. Lydia Yenoby Nganongo Np 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 ID4880105931
PECOS Enrollment IDI20250616001952
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.

Hospital Affiliations CMS Care Compare

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48188 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 Lydia Nganongo's NPI number?

The NPI number for Lydia Nganongo is 1710774393. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Lydia Nganongo located?

Lydia Nganongo practices at 45937 Windridge Ln, Canton, MI 48188. The listed phone number is (504) 919-4486.

What is Lydia Nganongo's specialty?

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

Is Lydia Nganongo enrolled in Medicare?

Yes. Lydia Nganongo 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.

What insurance does Lydia Nganongo accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lydia Nganongo 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 Lydia Nganongo affiliated with any hospitals?

According to CMS data, Lydia Nganongo is affiliated with Trinity Health Oakland Hospital.

When was this NPI record last updated?

The NPPES record for Lydia Nganongo was last updated on July 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.