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NICHOLAS IAN LONGSTREET M.D.
NPI 1245593623
Family Medicine in Tyndall Afb, FL

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
340 MAGNOLIA CIR, TYNDALL AFB, FL 32403(850) 283-7232 Get Directions Write a Review

NPPES record last updated: May 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 2, 2022, Dec 27, 2018, Apr 17, 2018 (3 updates tracked since 2018).

About Nicholas Ian Longstreet M.d. NPPES

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

NICHOLAS IAN LONGSTREET M.D. (NPI 1245593623) is an individual family medicine provider in Tyndall Afb, Florida, licensed in Nebraska (27702) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1245593623
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICHOLAS IAN LONGSTREETCredential: M.D.
Location Address340 MAGNOLIA CIRTyndall Afb, FL 32403-5604
Mailing Address340 Magnolia CirTyndall Afb, FL 32403-5604 · (601) 862-3911
Phone(850) 283-7232
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 20, 2012
Last NPPES UpdateMay 2, 20223 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1245593623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NE · 27702
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
340 MAGNOLIA CIR, Tyndall Afb, FL 32403
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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 and accepts Medicare assignment

Nicholas Ian Longstreet M.d. 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 ID1658693023
PECOS Enrollment IDI20220518001185
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 32403 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 20

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

DR. PRESTON S DUFFIN D.D.S, M.S.
Dentist (Orofacial Pain)
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Bay County (580) 283-7756
LILLYBETH MUNIZ LUGO
Military Health Care Provider (Independent Duty Medical Technicians)
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Bay County (850) 283-7603
325TH MEDICAL GROUP
Clinic/Center
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Bay County (850) 283-7423
JOHN RANDALL HEIL M.D.
Preventive Medicine (Aerospace Medicine)
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Bay County (850) 450-7849
MRS. AMY D SULLIVAN PTA
Physical Therapy Assistant
340 MAGNOLIA CIR
PANAMA CITY, FL 32403
Bay County (850) 283-7019
JANET MCEWAN PH.D.
Psychologist (Clinical)
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Bay County (850) 283-7511
325TH MEDGRP-TYNDALL
Clinic/Center (Military/U.S. Coast Guard Outpatient)
340 MAGNOLIA CIR
PANAMA CITY, FL 32403
Bay County (850) 283-7736
MRS. EMILY GRACE DIETRICH PHARM.D.
Pharmacist
340 MAGNOLIA CIR
TYNDALL AFB, FL 32403
Bay County (850) 283-7654

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 Nicholas Longstreet's NPI number?

The NPI number for Nicholas Longstreet is 1245593623. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Nicholas Longstreet located?

Nicholas Longstreet practices at 340 Magnolia Cir, Tyndall Afb, FL 32403. The listed phone number is (850) 283-7232.

What is Nicholas Longstreet's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicholas Longstreet enrolled in Medicare?

Yes. Nicholas Longstreet 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.

When was this NPI record last updated?

The NPPES record for Nicholas Longstreet was last updated on May 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.