MRS. NICOLE ROSE LONG APRN, AGNP-C
NPI 1124839337
Nurse Practitioner in Raleigh, NC

Q: What is Nicole Long's NPI number?

The NPI number for Nicole Long is 1124839337. It was assigned to this individual provider in the NPPES registry on January 16, 2025.

Q: What is Nicole Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Long was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 January 16, 2025PECOS EnrolledAccepts Medicare Assignment

3480 WAKE FOREST RD STE 204, RALEIGH, NC 27609(919) 862-5093(919) 862-5605 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2026, May 17, 2025 (2 updates tracked since 2025).

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About Mrs. Nicole Rose Long Aprn, Agnp-c NPPES

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

MRS. NICOLE ROSE LONG APRN, AGNP-C (NPI 1124839337) is an individual nurse practitioner in Raleigh, North Carolina, licensed in North Carolina (5022175) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Duke University School Of Medicine (2025).

NPPES Registry Identity

NPI1124839337

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. NICOLE ROSE LONGCredential: APRN, AGNP-C

Location Address3480 WAKE FOREST RD STE 204Raleigh, NC 27609-7376

Mailing Address3480 Wake Forest Rd Ste 204Raleigh, NC 27609-7376 · (919) 862-5093 · Fax (919) 862-5605

Phone(919) 862-5093

Fax(919) 862-5605

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2025

Enumeration DateJanuary 16, 2025

Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration

NPPES CertifiedMarch 16, 2026

✔ NPI 1124839337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5022175

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3480 WAKE FOREST RD STE 204, Raleigh, NC 27609

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

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

Mrs. Nicole Rose Long Aprn, Agnp-c 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 ID8527569904

PECOS Enrollment IDI20250828000211

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Duke University Hospital

Acute Care Hospitals · Durham, NC

5/5 CMS rating

OwnershipProprietary

CMS Certification Number340030

Location2100 Erwin RdDurham, NC 27705 · Durham County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27609 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

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 8

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

SAMANTHA DELORES SCHWEITZER FNP-BC

Nurse Practitioner (Family)