JENNICA LONG
NPI 1235951328
Physician Assistant in Owosso, MI

Q: What is Jennica Long's NPI number?

The NPI number for Jennica Long is 1235951328. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Q: What is Jennica Long's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jennica Long was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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 October 29, 2024PECOS EnrolledAccepts Medicare Assignment

818 W KING ST STE 101, OWOSSO, MI 48867(989) 725-8171 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jennica Long NPPES

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

JENNICA LONG (NPI 1235951328) is an individual physician assistant in Owosso, Michigan, licensed in Michigan (5601012849) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235951328

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameJENNICA LONG

Location Address818 W KING ST STE 101Owosso, MI 48867-2159

Mailing Address818 W King St Ste 101Owosso, MI 48867-2159 · (989) 725-8171 · Fax (989) 723-1257

Phone(989) 725-8171

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 29, 2024

NPPES CertifiedOctober 8, 2024

✔ NPI 1235951328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601012849

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

818 W KING ST STE 101, Owosso, MI 48867

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.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

Jennica Long 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 ID8224563796

PECOS Enrollment IDI20241120002082

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.

Memorial Healthcare

Acute Care Hospitals · Owosso, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230121

Location826 West King StreetOwosso, MI 48867 · Shiawassee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48867 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 11

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

DR. LYNN M LARSON D.O.

Internal Medicine