Individual provider Active NPI

Luke M Tolnai, PMHNP

  • Nurse Practitioner
  • Mount Clemens, MI
National Provider Identifier
1285485342
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704303935 Issued in 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
Last updated
Mar 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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 IncGroup PAC ID 5496773863, 20 clinicians
County of MacombGroup PAC ID 4880581404, 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704303935MIMDNurse Practitioner

Practice roles

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Sources for this page

Verify at the official NPI Registry.