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MRS. ALIESHA RENAE LONG
NPI 1518764083
Nurse Practitioner - Family in Lafayette, IN

Active since March 03, 2025PECOS Enrolled
2200 ELMWOOD AVE STE D11, LAFAYETTE, IN 47904(765) 756-5077 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Mar 3, 2025 (2 updates tracked since 2025).

About Mrs. Aliesha Renae Long NPPES

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

MRS. ALIESHA RENAE LONG (NPI 1518764083) is an individual family provider in Lafayette, Indiana, licensed in Indiana (28262675A) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518764083
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ALIESHA RENAE LONG
Location Address2200 ELMWOOD AVE STE D11Lafayette, IN 47904-2391
Mailing Address6241 N County Road 700 WMulberry, IN 46058-9471 · Fax (800) 810-3955
Phone(765) 756-5077
Sole ProprietorNo
Enumeration DateMarch 3, 2025
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1518764083 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 IN · 28262675A
2200 ELMWOOD AVE STE D11, Lafayette, IN 47904
Open in Google Maps ↗

Other Names 1

Other Name (5)Ali Long

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Aliesha Renae Long 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 47904 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 2

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

PROF. KRISTEN F KIRBY DNP, FNP-BC, CNE
Nurse Practitioner (Family)
2200 ELMWOOD AVE STE D11
LAFAYETTE, IN 47904
Tippecanoe County (765) 756-5077
MRS. MELISSA ANN DONAHUE FNP
Nurse Practitioner
2200 ELMWOOD AVE STE D11
LAFAYETTE, IN 47904
Tippecanoe County (765) 756-5077

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 Aliesha Long's NPI number?

The NPI number for Aliesha Long is 1518764083. It was assigned to this individual provider in the NPPES registry on March 3, 2025. The provider is also known as Ali Long.

Where is Aliesha Long located?

Aliesha Long practices at 2200 Elmwood Ave Ste D11, Lafayette, IN 47904. The listed phone number is (765) 756-5077.

What is Aliesha Long's specialty?

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

Is Aliesha Long enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Aliesha Long was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.