JACQUELYNN MARIE LONG AUD
NPI 1538618400
Audiologist in Phoenix, AZ
About Jacquelynn Marie Long Aud NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELYNN MARIE LONG AUD (NPI 1538618400) is an individual audiologist in Phoenix, Arizona, licensed in Arizona (DA10110) and active in the NPI registry since October 2016. She maintains a secondary practice location in Phoenix and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jacquelynn Marie Long Aud 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jacquelynn Long reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Phoenix, AZ 85028
- Reassigned Medicare billing, Arizona enrollment
- 25 clinicians in this Medicare group
Phoenix, AZ 85008
- Reassigned Medicare billing, Arizona enrollment
- 1,490 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jacquelynn Long's NPI number?
The NPI number for Jacquelynn Long is 1538618400. It was assigned to this individual provider in the NPPES registry on October 3, 2016.
Where is Jacquelynn Long located?
Jacquelynn Long practices at 4530 E Shea Blvd Ste 180, Phoenix, AZ 85028. The listed phone number is (602) 264-4834.
What is Jacquelynn Long's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Jacquelynn Long enrolled in Medicare?
Yes. Jacquelynn 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.
Which organizations bill Medicare for Jacquelynn Long's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelynn Long reassigns Medicare benefits to 2 organizations: Arizona Otolaryngology Consultants, PC (Phoenix, AZ) and District Medical Group, Inc (Phoenix, AZ). Each 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 Jacquelynn Long's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacquelynn Long accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Cigna HealthCare of Arizona, Inc and 3 other insurers list Jacquelynn 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.
When was this NPI record last updated?
The NPPES record for Jacquelynn Long was last updated on December 30, 2021. 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.
# Jacquelynn Marie Long, AUD · NPI 1538618400
Audiologist provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since October 3, 2016.
## Identity
- **NPI:** 1538618400 (Entity type: Individual)
- **Enumerated:** October 3, 2016
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** DA10110 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 4530 E SHEA BLVD STE 180, Phoenix, AZ 85028-6042
- **Phone:** (602) 264-4834
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Arizona Otolaryngology Consultants, PC (NPI 1679538441, Phoenix, AZ); District Medical Group, Inc (NPI 1174856280, Phoenix, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 30, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1538618400) · Data from the CMS NPPES public registry.