LISA M LONG CRNP
NPI 1164721247
Nurse Practitioner - Family in Philadelphia, PA
About Lisa M Long Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA M LONG CRNP (NPI 1164721247) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP011280) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Lisa M Long Crnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Lisa Long reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania and New Jersey enrollments
- Also billed through NPI 1124122387 (New Jersey)
- 171 clinicians in this Medicare group
Philadelphia, PA 19104
- Reassigned Medicare billing, Pennsylvania enrollment
- 364 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cape Regional Medical Center Inc
Acute Care Hospitals · Cape May Court House, NJHospital Of Univ Of Pennsylvania
Acute Care Hospitals · Philadelphia, PAPenn Presbyterian Medical Center
Acute Care Hospitals · Philadelphia, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHILADELPHIA, PA 19104
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 Lisa Long's NPI number?
The NPI number for Lisa Long is 1164721247. It was assigned to this individual provider in the NPPES registry on March 15, 2011.
Where is Lisa Long located?
Lisa Long practices at 51 N 39th St 4 Phi, Philadelphia, PA 19104. The listed phone number is (215) 662-9189.
What is Lisa Long's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lisa Long enrolled in Medicare?
Yes. Lisa 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 Lisa Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Long reassigns Medicare benefits to 2 organizations: Clinical Health Care Associates Of New Jersey, PC (Philadelphia, PA) and University Of Penn-Medical Group (Philadelphia, PA). 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 Lisa Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Lisa Long affiliated with any hospitals?
According to CMS data, Lisa Long is affiliated with Cape Regional Medical Center Inc, Hospital Of Univ Of Pennsylvania and Penn Presbyterian Medical Center.
When was this NPI record last updated?
The NPPES record for Lisa Long was last updated on March 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Lisa M Long, CRNP · NPI 1164721247
Family physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 15, 2011.
## Identity
- **NPI:** 1164721247 (Entity type: Individual)
- **Enumerated:** March 15, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** SP011280 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 51 N 39TH ST, 4 PHI, Philadelphia, PA 19104-2640
- **Phone:** (215) 662-9189
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Clinical Health Care Associates Of New Jersey, PC (NPI 1902844806, Philadelphia, PA); University Of Penn-Medical Group (NPI 1871981985, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** March 15, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1164721247) · Data from the CMS NPPES public registry.