Individual provider Active NPI

Elgena Lee, FNP-C

  • Nurse Practitioner
  • Pontiac, MI
National Provider Identifier
1356031108
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F05230035 Issued in MI
Practice address
50 N Perry St
Pontiac, MI 48342-2217
Phone
(248) 338-5332
NPI assigned
May 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 F05230035 MI Primary

Addresses

Primary practice location

50 N Perry St
Pontiac, MI 48342-2217

Mailing address

69401 Eldred Rd
Bruce TWP, MI 48065-4221
Phone (586) 994-0491

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
I20230713002939 MI Practitioner - Nurse Practitioner 3678933249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

2110 S M
76 Suite 1
West Branch, MI 48661-8821
Phone (989) 516-5075

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F05230035MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Hospital Group CurrentSince Jul 15, 2025 Accepting new patients
Surgical Affiliates of California CurrentSince Jul 1, 2023 Accepting new patients
McLaren Oakland CurrentSince Oct 9, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Jul 1, 2023 Accepting new patients
McLaren Oakland CurrentSince Oct 9, 2023 Accepting new patients
Acute Care Surgery Medical Group, Inc. PastSince Jul 2, 2023 Accepting new patients

Locations

8172 Reliable Pkwy
Chicago, IL 60686
Phone (517) 908-0847

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

50 N Perry St
#2S
Pontiac, MI 48342
Phone (248) 338-5865

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

50 N Perry St
#2
Pontiac, MI 48342
Phone (248) 338-5865

2110 S M 76
Ste 1
West Branch, MI 48661
Phone (989) 516-5074

Organizations & group practices 6

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 1

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": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1356031108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69401 ELDRED RD",
            "city": "BRUCE TWP",
            "state": "MI",
            "postal_code": "480654221",
            "telephone_number": "586-994-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N PERRY ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483422217",
            "telephone_number": "248-338-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ELGENA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "F05230035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.