MRS. LYDIA YENOBY NGANONGO NP
NPI 1710774393
Nurse Practitioner - Family in Canton, MI
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
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Lydia Nganongo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Garden City, MI 48135
- Reassigned Medicare billing, Michigan enrollment
- 19 clinicians in this Medicare group
Detroit, MI 48214
- Reassigned Medicare billing, Michigan enrollment
- 102 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIPhysician 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.
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.
Which organizations bill Medicare for Lydia Nganongo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Nganongo reassigns Medicare benefits to 2 organizations: Vitality Visiting Physicians, PLLC (Garden City, MI) and Osh-Mi Physicians Group PC (Detroit, 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 Lydia Nganongo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 14 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.
# Mrs. Lydia Yenoby Nganongo, NP · NPI 1710774393
Family physician in Canton, Michigan. Individual provider, active in the CMS NPPES registry since April 24, 2025.
## Identity
- **NPI:** 1710774393 (Entity type: Individual)
- **Enumerated:** April 24, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704372556 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 45937 WINDRIDGE LN, Canton, MI 48188-6224
- **Phone:** (504) 919-4486
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Vitality Visiting Physicians, PLLC (NPI 1073230876, Garden City, MI); Osh-Mi Physicians Group PC (NPI 1700236478, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of South Alabama College Of Medicine, class of 2024
## Record status
- **NPPES last updated:** July 31, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710774393) · Data from the CMS NPPES public registry.