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MICHELE ETTERBEEK LONG M.D.
NPI 1326103102
Pediatrics in Sacramento, CA

Active since December 22, 2006PECOS Enrolled
2516 STOCKTON BLVD, TICON II STE 339, SACRAMENTO, CA 95817(916) 734-5387(916) 456-2236 Get Directions Write a Review

NPPES record last updated: February 28, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Michele Etterbeek Long M.d. NPPES

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

MICHELE ETTERBEEK LONG M.D. (NPI 1326103102) is an individual pediatrics provider in Sacramento, California, licensed in California (A74359) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326103102
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMICHELE ETTERBEEK LONGCredential: M.D.
Location Address2516 STOCKTON BLVD, TICON II STE 339Sacramento, CA 95817-2208
Mailing Address6324 Sutter AveCarmichael, CA 95608-2723 · (916) 993-9923
Phone(916) 734-5387
Fax(916) 456-2236
Sole ProprietorYes
Enumeration DateDecember 22, 2006
Last NPPES UpdateFebruary 28, 2012
✔ NPI 1326103102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · A74359
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2516 STOCKTON BLVD, Sacramento, CA 95817
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Other Names 1

Former Name (1)Michele Lynn Etterbeek M.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Etterbeek Long M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Michele Long reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ucsf Pediatrics Associates
77 mi
Pediatrics
505 PARNASSUS AVE
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 1,159 clinicians in this Medicare group
NPI 1376614016 (415) 353-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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. MADHU SHARMA MD
Pediatrics (Pediatric Cardiology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-4572
LENA CLAIRE VAN DER LIST D.O.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
NATALIE ALBASHA MD
Allergy & Immunology
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2274
ALISON MY LAM M.D.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. ELIZABETH PARTRIDGE M.D.
Pediatrics (Pediatric Infectious Diseases)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (510) 428-4337
SAMANTHA ELISE ELLINWOOD AUMAN M.D.
Student in an Organized Health Care Education/Training Program
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
SARA BRUNDAGE DO
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. JEANNY KIM PARK M.D.
Pediatrics (Pediatric Cardiology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3589

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 Michele Long's NPI number?

The NPI number for Michele Long is 1326103102. It was assigned to this individual provider in the NPPES registry on December 22, 2006. The provider is also known as Michele Lynn Etterbeek M.D..

Where is Michele Long located?

Michele Long practices at 2516 Stockton Blvd Ticon II Ste 339, Sacramento, CA 95817. The listed phone number is (916) 734-5387.

What is Michele Long's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michele Long enrolled in Medicare?

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

Which organization bills Medicare for Michele Long's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Long reassigns Medicare benefits to Ucsf Pediatrics Associates (San Francisco, CA). The 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 Michele Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michele Long was last updated on February 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.