Elias Lu, DTCM, AP, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11011629 Issued in FL

Practice address

5920 Pan American Blvd Ste 203
North Port, FL 34287-3412

Phone

(941) 525-9000

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Ajo, AZ
  • NPI 1114037496
  Medicare reassignment
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arizona City, AZ
  • NPI 1447124326
  NPD (past)
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Stanfield, AZ
  • NPI 1932974672
  NPD (past)
• First Aid Urgent Care Inc

  • Urgent Care Clinic/Center
  • Tujunga, CA
  • NPI 1760889190
  NPD (past)

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788566400000",
    "number": "1417956848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5753 HIGHWAY 85 N STE 6387",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325369365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 PAN AMERICAN BLVD STE 203",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342873412",
            "telephone_number": "941-525-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 2nd Ave NE Ste 520",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337013463",
            "country_code": "US",
            "telephone_number": "727-252-6060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "ELIAS",
        "name_prefix": "Dr.",
        "credential": "DTCM, AP, APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2026-09-05",
        "certification_date": "2026-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11011629",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP4251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miroslava Loksova-Roth
• Ty Lombard
• Terrence M Lonergan, MA
• Ariana Silvy Love
• Katelynn Loyd
• Irene Tan Lu, RPT
• Shaelyn Lugo
• Andrea Beth Lukach
• Ava Lukacz, COTA
• Bronwen Lundgren, LMT,MMP

• Family Nurse Practitioner in North Port, FL
• Providers in North Port, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.