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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CANDI NICOLE LONG NP
NPI 1154920593
Nurse Practitioner - Family in Las Vegas, NV

Active since October 17, 2020PECOS Enrolled
79.55/100
CMS Quality Rating
10030 W SAHARA AVE, LAS VEGAS, NV 89117(702) 570-8105 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2023, Jul 7, 2023, Mar 24, 2023 and 2 more (5 updates tracked since 2020).

About Candi Nicole Long Np NPPES

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

CANDI NICOLE LONG NP (NPI 1154920593) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (APRN848646) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154920593
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCANDI NICOLE LONGCredential: NP
Location Address10030 W SAHARA AVELas Vegas, NV 89117-6013
Mailing Address10030 W Sahara AveLas Vegas, NV 89117-6013
Phone(702) 570-8105
Sole ProprietorYes
Enumeration DateOctober 17, 2020
Last NPPES UpdateJune 26, 20265 updates tracked since enumeration
NPPES CertifiedJune 26, 2026
✔ NPI 1154920593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NV · APRN848646
10030 W SAHARA AVE, Las Vegas, NV 89117
Open in Google Maps ↗

Other Names 1

Professional Name (2)Miss Candi Nicole Long Np

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candi Nicole Long Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89117 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.8
Promoting Interoperability100
Improvement Activities40
Cost63.9

Other Providers at the Same Location NPPES

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

VANYA GRUJICIC FNP
Nurse Practitioner (Family)
10030 W SAHARA AVE
LAS VEGAS, NV 89117
Clark County (702) 570-8105

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 Candi Long's NPI number?

The NPI number for Candi Long is 1154920593. It was assigned to this individual provider in the NPPES registry on October 17, 2020. The provider is also known as Miss Candi Nicole Long Np.

Where is Candi Long located?

Candi Long practices at 10030 W Sahara Ave, Las Vegas, NV 89117. The listed phone number is (702) 570-8105.

What is Candi Long's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Candi Long enrolled in Medicare?

Yes. Candi Long is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Candi Long was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.