Individual provider Active NPI

Michelle Yue Lu, NURSE PRACTITIONER

  • Gerontology Nurse Practitioner
  • Westborough, MA
National Provider Identifier
1750856803
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AG09180153 Issued in MA
Practice address
1400 Computer Dr
Westborough, MA 01581-1760
Phone
(714) 943-1327
NPI assigned
Oct 4, 2018
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AG09180153 MA Primary
Gerontology Nurse Practitioner 363LG0600X APRN11047042 FL
Gerontology Nurse Practitioner 363LG0600X SP023721 PA

Addresses

Primary practice location

1400 Computer Dr
Westborough, MA 01581-1760

Mailing address

1400 Computer Dr
Westborough, MA 01581-1760
Phone (714) 943-1327

Other practice location 1

325 Chestnut St Ste 800
Philadelphia, PA 19106-2608
Phone (973) 241-1356

Other practice location 2

101 Greenwood Ave Ste 140
Jenkintown, PA 19046-2649
Phone (973) 241-1356

Other practice location 3

29399 US Highway 19 N Ste 150
Clearwater, FL 33761-2126
Phone (551) 295-8223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210609003280 PA Practitioner - Nurse Practitioner 9133559669 Reassigns benefits to 4 organizations
I20250723001966 SC Practitioner - Nurse Practitioner 9133559669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Patina Medical Group, PCGroup PAC ID 2567828460, 5 clinicians
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians
Patina Medical Group, PCGroup PAC ID 4688038854, 3 clinicians

Practice addresses (Care Compare)

Bala Cynwyd, PA 19004
Phone (800) 390-9321

325 Chestnut St
Suite 800
Philadelphia, PA 19106-2608
Phone (973) 241-1356

331 E Main St
Suite 200
Rock Hill, SC 29730-5384
Phone (855) 478-8208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AG09180153MAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ III PC CurrentSince Sep 14, 2025 Accepting new patients
Ennoble HC NJ PC CurrentSince Nov 17, 2025 Accepting new patients
Patina Medical Group, PC CurrentSince Oct 1, 2023 Accepting new patients
Ennoble HC NJ II PC CurrentSince Sep 14, 2025 Accepting new patients

Locations

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

150 Monument Rd
Ste 500
Bala Cynwyd, PA 19004
Phone (800) 390-9321

101 Greenwood Ave
Ste 140
Jenkintown, PA 19046
Phone (973) 241-1356

325 Chestnut St
Ste 800
Philadelphia, PA 19106
Phone (973) 241-1356

Interoperability endpoints

  • Direct secure messaging: mlu@landmarkhealth-direct.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1750856803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COMPUTER DR",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811760",
            "telephone_number": "714-943-1327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMPUTER DR",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015811760",
            "telephone_number": "714-943-1327"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Chestnut St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191062608",
            "country_code": "US",
            "telephone_number": "973-241-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Greenwood Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Jenkintown",
            "state": "PA",
            "postal_code": "190462649",
            "country_code": "US",
            "telephone_number": "973-241-1356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "29399 US Highway 19 N Ste 150",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612126",
            "country_code": "US",
            "telephone_number": "551-295-8223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LU",
        "first_name": "MICHELLE",
        "middle_name": "YUE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MA",
            "license": "AG09180153",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11047042",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "PA",
            "license": "SP023721",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westborough, MA

Sources for this page

Verify at the official NPI Registry.