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NICOLE LONG FNP
NPI 1174634950
Nurse Practitioner - Family in Lafayette, CA

Active since August 31, 2006PECOS Enrolled
902 CARL RD, LAFAYETTE, CA 94549(510) 333-5966(925) 403-7736 Get Directions Write a Review

NPPES record last updated: September 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Long Fnp NPPES

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

NICOLE LONG FNP (NPI 1174634950) is an individual family provider in Lafayette, California, licensed in California (551784) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174634950
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE LONGCredential: FNP
Location Address902 CARL RDLafayette, CA 94549-4807
Mailing Address902 Carl RdLafayette, CA 94549-4807 · (510) 333-5966 · Fax (925) 403-7736
Phone(510) 333-5966
Fax(925) 403-7736
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 17, 2012
✔ NPI 1174634950 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 CA · 551784
902 CARL RD, Lafayette, CA 94549
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Long Fnp 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 94549 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Nicole Long's NPI number?

The NPI number for Nicole Long is 1174634950. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Nicole Long located?

Nicole Long practices at 902 Carl Rd, Lafayette, CA 94549. The listed phone number is (510) 333-5966.

What is Nicole Long's specialty?

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

Is Nicole Long enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Nicole Long was last updated on September 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.