1. Home
  2. Directory
  3. Michigan
  4. Sandusky
  5. Physician Assistant
  6. NPI Profile

LORI M. NUGENT PA-C
NPI 1780610956
Physician Assistant in Sandusky, MI

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
109 N DELAWARE ST, SANDUSKY, MI 48471(810) 648-9677 Get Directions Write a Review

NPPES record last updated: April 15, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Lori M. Nugent Pa-c NPPES

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

LORI M. NUGENT PA-C (NPI 1780610956) is an individual physician assistant in Sandusky, Michigan, licensed in Michigan (5601003501) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1780610956
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLORI M. NUGENTCredential: PA-C
Location Address109 N DELAWARE STSandusky, MI 48471-1008
Mailing Address120 N Delaware StSandusky, MI 48471-1009 · (810) 648-3770 · Fax (810) 376-8301
Phone(810) 648-9677
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 22, 2006
Last NPPES UpdateApril 15, 2021
NPPES CertifiedApril 15, 2021
✔ NPI 1780610956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601003501
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
109 N DELAWARE ST, Sandusky, MI 48471
Open in Google Maps ↗

Other Names 1

Former Name (1)Lori M. Hall Pa-c

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lori M. Nugent Pa-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 ID1951433150
PECOS Enrollment IDI20100723000681
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.

Areas of Expertise CMS Part B claims 5

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.

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
236 services46 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
93 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
59 services20 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
32 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Covenant Medical Center

Acute Care Hospitals · Saginaw, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230070
Location1447 N HarrisonSaginaw, MI 48602 · Saginaw County
Emergency services Birthing friendly

Mckenzie Health System

Critical Access Hospitals · Sandusky, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231314
Location120 N Delaware StreetSandusky, MI 48471 · Sanilac County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48471 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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 5

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

MCKENZIE MEMORIAL HOSPITAL
Clinic/Center (Rural Health)
109 N DELAWARE ST
SANDUSKY, MI 48471
Sanilac County (810) 648-9677
MELISSA SHIMSHOCK FNP-C
Nurse Practitioner (Family)
109 N DELAWARE ST
SANDUSKY, MI 48471
Sanilac County (810) 648-9677
EMILY EILEEN QUANDT
Social Worker
109 N DELAWARE ST
SANDUSKY, MI 48471
Sanilac County (810) 648-0580
HELDA SOURESHO MD
Family Medicine
109 N DELAWARE ST
SANDUSKY, MI 48471
Sanilac County (810) 648-9677
DR. MICHAEL A. MERKLER M.D.
Family Medicine
109 N DELAWARE ST
SANDUSKY, MI 48471
Sanilac County (810) 648-9677

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 Lori Nugent's NPI number?

The NPI number for Lori Nugent is 1780610956. It was assigned to this individual provider in the NPPES registry on June 22, 2006. The provider is also known as Lori M. Hall Pa-C.

Where is Lori Nugent located?

Lori Nugent practices at 109 N Delaware St, Sandusky, MI 48471. The listed phone number is (810) 648-9677.

What is Lori Nugent's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lori Nugent enrolled in Medicare?

Yes. Lori Nugent 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 Lori Nugent 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 2 other insurers list Lori Nugent 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 Lori Nugent affiliated with any hospitals?

According to CMS data, Lori Nugent is affiliated with Covenant Medical Center and Mckenzie Health System.

When was this NPI record last updated?

The NPPES record for Lori Nugent was last updated on April 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.