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

Q: 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.

Q: What is Matthew Long's specialty?

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

Q: 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.

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: August 23, 2026.

On this page

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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

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