MRS. KAREN ALISHYA LONGFELLOW F.N.P.
NPI 1295049187
Nurse Practitioner - Family in Gardiner, ME

Active since August 03, 2010PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
5 CENTRAL MAINE XING, GARDINER, ME 04345(207) 582-6608(207) 582-2258 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Karen Alishya Longfellow F.n.p. NPPES

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

MRS. KAREN ALISHYA LONGFELLOW F.N.P. (NPI 1295049187) is an individual family provider in Gardiner, Maine, licensed in Maine (CNP101048) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS, is affiliated with Maine General Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1295049187
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KAREN ALISHYA LONGFELLOWCredential: F.N.P.
Location Address5 CENTRAL MAINE XINGGardiner, ME 04345-6320
Mailing Address44 Mathews AveWaterville, ME 04901-5233 · (207) 788-0475
Fax(207) 582-2258
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 3, 2010
Last NPPES UpdateDecember 16, 2021
NPPES CertifiedDecember 16, 2021
NPI 1295049187 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
Licenses Licensed in ME · CNP101048 Licensed in ME · AP101048
5 CENTRAL MAINE XING, Gardiner, ME 04345

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

Mrs. Karen Alishya Longfellow F.n.p. 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 ID2961694104
PECOS Enrollment IDI20101007000010
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
123 services107 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
34 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maine General Medical Center

Acute Care Hospitals · Augusta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number200039
Location35 Medical Center ParkwayAugusta, ME 04330 · Kennebec County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04345 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$41.82 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers11 claims11 services$108.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

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

Nurse Practitioner (Psychiatric/Mental Health)
5 CENTRAL MAINE XING
GARDINER, ME 04345
Physician Assistant
5 CENTRAL MAINE XING
GARDINER, ME 04345
Social Worker
5 CENTRAL MAINE XING
GARDINER, ME 04345
Physician Assistant
5 CENTRAL MAINE XING
GARDINER, ME 04345
Physician Assistant
5 CENTRAL MAINE XING
GARDINER, ME 04345
Nurse Practitioner (Psychiatric/Mental Health)
5 CENTRAL MAINE XING
GARDINER, ME 04345
Student in an Organized Health Care Education/Training Program
5 CENTRAL MAINE XING
GARDINER, ME 04345
Physician Assistant
5 CENTRAL MAINE XING
GARDINER, ME 04345

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 Karen Longfellow's NPI number?

The NPI number for Karen Longfellow is 1295049187. It was assigned to this individual provider in the NPPES registry on August 3, 2010.

Where is Karen Longfellow located?

Karen Longfellow practices at 5 Central Maine Xing, Gardiner, ME 04345. The listed phone number is (207) 582-6608.

What is Karen Longfellow's specialty?

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

Is Karen Longfellow enrolled in Medicare?

Yes. Karen Longfellow 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.

Is Karen Longfellow affiliated with any hospitals?

According to CMS data, Karen Longfellow is affiliated with Maine General Medical Center.

When was this NPI record last updated?

The NPPES record for Karen Longfellow was last updated on December 16, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.