Luke M Tolnai, PMHNP

Individual provider Active NPI Nurse Practitioner · Mount Clemens, MI

NPI 1285485342 · NPPES record last updated Mar 28, 2024

Key facts

NPI
1285485342
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
4704303935 (MI)
Practice address
100 NB Gratiot Ave
Mount Clemens, MI 48043-2304
Phone
(586) 783-2950
Fax
(586) 690-4333
NPI assigned
Mar 28, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renewal Christian Counseling Inc (20 clinicians)
County of Macomb (81 clinicians)

Practice addresses (Care Compare)

100 Northbound Gratiot Ave
Suite a
Mount Clemens, MI 48043-2339
Phone (586) 783-2950

19800 Hall Rd
Clinton Township, MI 48038-5318
Phone (586) 469-5794

Hospital & facility affiliations

  • McLaren Macomb Hospital · Mount Clemens, MI · CCN 230227

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240410000250 MI Practitioner - Nurse Practitioner 5890133854 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb Current
since May 1, 2024
Accepting new patients
County of Macomb Current
since May 1, 2024
Accepting new patients
Renewal Christian Counseling Inc Current
since Apr 4, 2024
Accepting new patients
Renewal Christian Counseling Inc Past Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

100 Northbound Gratiot Ave
Mount Clemens, MI 48043
Phone (586) 783-2950

100 Northbound Gratiot Ave
Ste A
Mount Clemens, MI 48043
Phone (586) 783-2950

1024 Superior St
Port Huron, MI 48060
Phone (810) 985-9644

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704303935 MI Yes

Addresses

Primary practice location

100 NB Gratiot Ave
Mount Clemens, MI 48043-2304

Mailing address

100 NB Gratiot Ave
Mount Clemens, MI 48043-2304
Phone (586) 783-2950

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 28, 2024.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1285485342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NB GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432304",
            "telephone_number": "586-783-2950",
            "fax_number": "586-690-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NB GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432304",
            "telephone_number": "586-783-2950",
            "fax_number": "586-690-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLNAI",
        "first_name": "LUKE",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704303935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

All providers in Mount Clemens, MI · Nurse Practitioner in Michigan

Sources for this page

Verify at the official NPI Registry.