DOMINIQUE LONG APRN
NPI 1528865318
Nurse Practitioner - Family in Palatka, FL

Active since February 27, 2025PECOS EnrolledAccepts Medicare Assignment
1302 RIVER ST, PALATKA, FL 32177(386) 328-8371 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dominique Long Aprn NPPES

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

DOMINIQUE LONG APRN (NPI 1528865318) is an individual family provider in Palatka, Florida, licensed in Florida (11037931) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Putnam Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1528865318
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDOMINIQUE LONGCredential: APRN
Location Address1302 RIVER STPalatka, FL 32177-5042
Mailing Address1302 River StPalatka, FL 32177-5042
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateFebruary 27, 2025
NPPES CertifiedFebruary 27, 2025
NPI 1528865318 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 FL · 11037931
1302 RIVER ST, Palatka, FL 32177

Accepted 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

Dominique Long Aprn 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 ID1456874536
PECOS Enrollment IDI20250328003414
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.

Hca Florida Putnam Hospital

Acute Care Hospitals · Palatka, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100232
Location611 Zeagler DrPalatka, FL 32177 · Putnam County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32177 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.

Pharmacist
1302 RIVER ST
PALATKA, FL 32177
Pharmacist
1302 RIVER ST
PALATKA, FL 32177
Family Medicine
1302 RIVER ST
PALATKA, FL 32177
Psychiatry & Neurology (Psychiatry)
1302 RIVER ST
PALATKA, FL 32177
Pharmacist
1302 RIVER ST
PALATKA, FL 32177
Pharmacist
1302 RIVER ST
PALATKA, FL 32177
Family Medicine
1302 RIVER ST
PALATKA, FL 32177
Nurse Practitioner
1302 RIVER ST
PALATKA, FL 32177

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 Dominique Long's NPI number?

The NPI number for Dominique Long is 1528865318. It was assigned to this individual provider in the NPPES registry on February 27, 2025.

Where is Dominique Long located?

Dominique Long practices at 1302 River St, Palatka, FL 32177. The listed phone number is (386) 328-8371.

What is Dominique Long's specialty?

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

Is Dominique Long enrolled in Medicare?

Yes. Dominique Long 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.

What insurance does Dominique Long accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Dominique Long as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dominique Long affiliated with any hospitals?

According to CMS data, Dominique Long is affiliated with Hca Florida Putnam Hospital.

When was this NPI record last updated?

The NPPES record for Dominique Long was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.