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MATTHEW S LONG CRNA
NPI 1093707945
Nurse Anesthetist, Certified Registered in Jackson, TN

Active since August 17, 2005Accepts Medicare Assignment
17C BRENTSHIRE SQUARE, JACKSON, TN 38305(731) 664-1717(731) 664-7114 Get Directions Write a Review

NPPES record last updated: May 21, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Matthew S Long Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW S LONG CRNA (NPI 1093707945) is an individual nurse anesthetist, certified registered in Jackson, Tennessee, licensed in Tennessee (APN0000009329) and active in the NPI registry since August 2005. He is a graduate of Other (1989).

NPPES Registry Identity

NPI1093707945
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMATTHEW S LONGCredential: CRNA
Location Address17C BRENTSHIRE SQUAREJackson, TN 38305-2273
Mailing Address17c Brentshire SquareJackson, TN 38305-2273 · (731) 664-1717 · Fax (731) 664-7114
Phone(731) 664-1717
Fax(731) 664-7114
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 17, 2005
Last NPPES UpdateMay 21, 2020
NPPES CertifiedMay 21, 2020
✔ NPI 1093707945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in TN · APN0000009329
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN0000057803 (TN), RN0000067803 (TN)
17C BRENTSHIRE SQUARE, Jackson, TN 38305
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Other Identifiers 2

Medicaid1521318TN
Medicaid3607376TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Matthew S Long Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567658859
PECOS Enrollment IDI20101129000830

Medicare Billing Reassignments

2

Medicare enrollment records show Matthew Long reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

West Tennessee Anesthesia, PC
Same address
Nurse Anesthetist, Certified Registered
17C BRENTSHIRE SQUARE
Jackson, TN 38305
  • Reassigned Medicare billing, Tennessee enrollment
  • 8 clinicians in this Medicare group
NPI 1427137280 (731) 664-1717
Shamrock Community Hospital Inc
79 mi
Family Medicine
5001 E MAIN ST
Erin, TN 37061
  • Reassigned Medicare billing, Tennessee enrollment
  • 50 clinicians in this Medicare group
NPI 1033878277 (931) 289-4211

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CONNIE G LYNN CRNA
Nurse Anesthetist, Certified Registered
17C BRENTSHIRE SQUARE
JACKSON, TN 38305
Madison County (731) 664-1717
WEST TENNESSEE ANESTHESIA, PC
Nurse Anesthetist, Certified Registered
17C BRENTSHIRE SQUARE
JACKSON, TN 38305
Madison County (731) 664-1717
MR. BRENT EDWARD EARWOOD CRNA
Nurse Anesthetist, Certified Registered
17C BRENTSHIRE SQUARE
JACKSON, TN 38305
Madison County (731) 664-1717
MARK W FOSTER CRNA
Nurse Anesthetist, Certified Registered
17C BRENTSHIRE SQUARE
JACKSON, TN 38305
Madison County (731) 664-1717
APRIL M HAYS CRNA
Nurse Anesthetist, Certified Registered
17C BRENTSHIRE SQUARE
JACKSON, TN 38305
Madison County (731) 664-1717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Long's NPI number?

The NPI number for Matthew Long is 1093707945. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is Matthew Long located?

Matthew Long practices at 17C Brentshire Square, Jackson, TN 38305. The listed phone number is (731) 664-1717.

What is Matthew Long's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Matthew Long enrolled in Medicare?

Yes. Matthew Long is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Matthew Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Long reassigns Medicare benefits to 2 organizations: West Tennessee Anesthesia, PC (Jackson, TN) and Shamrock Community Hospital Inc (Erin, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Matthew Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Long accept?

Health plans from Cigna Healthcare list Matthew Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Matthew Long was last updated on May 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.