ZEKE LUE
NPI 1720942105
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since December 10, 2025PECOS EnrolledAccepts Medicare Assignment
3812 PARK BLVD UNIT 504, SAN DIEGO, CA 92103(360) 612-2826 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Zeke Lue NPPES

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

ZEKE LUE (NPI 1720942105) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95036757) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720942105
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameZEKE LUE
Location Address3812 PARK BLVD UNIT 504San Diego, CA 92103-0908
Mailing Address3812 Park Blvd Unit 504San Diego, CA 92103-0908 · (360) 612-2826
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 10, 2025
NPPES CertifiedDecember 10, 2025
✔ NPI 1720942105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95036757
3812 PARK BLVD UNIT 504, San Diego, CA 92103

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Zeke Lue 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 ID4284116005
PECOS Enrollment IDI20260302002955
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 Zeke Lue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
81555 JFK CT
Indio, CA 92201
  • Reassigned Medicare billing, California enrollment
  • 208 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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 Zeke Lue's NPI number?

The NPI number for Zeke Lue is 1720942105. It was assigned to this individual provider in the NPPES registry on December 10, 2025.

Where is Zeke Lue located?

Zeke Lue practices at 3812 Park Blvd Unit 504, San Diego, CA 92103. The listed phone number is (360) 612-2826.

What is Zeke Lue's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Zeke Lue enrolled in Medicare?

Yes. Zeke Lue 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 organization bills Medicare for Zeke Lue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Zeke Lue reassigns Medicare benefits to Cep America - Psychiatry PC (Indio, CA). 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 Zeke Lue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Zeke Lue was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.